Active NPI
Oscar Herrera
- Family Nurse Practitioner
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60957049
- Practice address
- 220 15TH Ave SE
Puyallup, WA 98372-3797 - Phone
- (253) 697-8610
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60957049 | WA | Primary |
| Nurse Practitioner | 363L00000X | AP60957049 | WA |
Addresses
Primary practice location
220 15TH Ave SE
Puyallup, WA 98372-3797
Mailing address
220 15TH Ave SE
Puyallup, WA 98372-3797
Other practice location 1
9230 Sky Island Dr E
Bonney Lake, WA 98391-7385
Phone (253) 750-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141636 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oherrera9702@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60957049 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Past | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
9230 Sky Island Dr E
Bonney Lake, WA 98391
Phone (253) 750-6000
9230 Sky Island Dr E
Fl 1
Bonney Lake, WA 98391
Phone (253) 750-6000
31675 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 215-1093
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
1700 5th St SE
Ste 100
Puyallup, WA 98372
Phone (253) 848-8797
10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- oherrera132963@direct.multicare.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Bellevue, WA
- NPI 1689249096
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1003460064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 15TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 15TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723797",
"telephone_number": "253-697-8610"
}
],
"practiceLocations": [
{
"address_1": "9230 Sky Island Dr E",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983917385",
"country_code": "US",
"telephone_number": "253-750-6000",
"fax_number": "253-750-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "OSCAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60957049",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60957049",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2141636",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oherrera9702@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9230 Sky Island Dr E",
"city": "Bonney Lake",
"state": "WA",
"country_code": "US",
"postal_code": "983917385",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.