Individual provider Active NPI

Maria Del Rocio Herrada, CRNP

  • Geriatric Medicine (Family Medicine) Physician
  • Mechanicsburg, PA
National Provider Identifier
1083422752
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
SPO31733 Issued in PA
Practice address
6 Bella Vista Dr
Mechanicsburg, PA 17050-1879
Phone
(717) 516-1290
NPI assigned
Dec 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X SPO31733 PA Primary

Addresses

Primary practice location

6 Bella Vista Dr
Mechanicsburg, PA 17050-1879

Mailing address

417 Jennifer Dr
New Cumberland, PA 17070-3041
Phone (717) 576-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250114001945 PA Practitioner - Nurse Practitioner 9931637279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Medical PLLCGroup PAC ID 7315257540, 12 clinicians

Practice addresses (Care Compare)

York, PA 17405
Phone (717) 851-2450

Hospital & facility affiliations

  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SPO31733PAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Medical, PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

770 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 763-7070

1001 S George St
Fl 5
York, PA 17403
Phone (717) 516-1290

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1083422752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 JENNIFER DR",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170703041",
            "telephone_number": "717-576-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BELLA VISTA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501879",
            "telephone_number": "717-516-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRADA",
        "first_name": "MARIA",
        "middle_name": "DEL ROCIO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "SPO31733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.