Individual provider Active NPI

Sara Magali Herrera, DNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1053046276
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
278129 Issued in AZ
Practice address
1300 S 10TH St
Phoenix, AZ 85034-4516
Phone
(602) 257-4323
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 278129 AZ Primary

Addresses

Primary practice location

1300 S 10TH St
Phoenix, AZ 85034-4516

Mailing address

1300 S 10TH St
Phoenix, AZ 85034-4516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230224002236 AZ Practitioner - Nurse Practitioner 9133592918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Community Center IncGroup PAC ID 9032264239, 14 clinicians

Practice addresses (Care Compare)

1300 S 10TH St
Phoenix, AZ 85034-4516
Phone (602) 368-9888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Community Center, Inc CurrentSince Nov 8, 2022 Accepting new patients
Wesley Community Center Inc Current Accepting new patients
Wesley Community Center, Inc CurrentSince Nov 8, 2022 Accepting new patients
Wesley Community Center Inc Past Accepting new patients

Locations

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJFDDD/Endpoint/BJFDDD
  • Direct secure messaging: sara.herrera-mmwchc@contexture.medalliesmail.com
  • Direct secure messaging: sara.herrera@wccphx.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053046276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344516",
            "telephone_number": "602-257-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "SARA",
        "middle_name": "MAGALI",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "278129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.