Individual provider Active NPI

Oscar Herrera

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1003460064
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60957049 Issued in WA
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

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2141636MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108002015 WA Practitioner - Nurse Practitioner 6709218928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60957049WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 15, 2023 Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince Sep 15, 2019 Accepting new patients
Multicare Health System CurrentSince Sep 15, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 15, 2023 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients
Franciscan Medical Group PastSince Jul 3, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.