Individual provider Active NPI

Amanda L Herrera, PA-C

  • Physician Assistant
  • Kansas City, KS
National Provider Identifier
1194359539
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2024035203 Issued in MO
Practice address
21 N 12TH St Ste 400
Kansas City, KS 66102-5172
Phone
(816) 599-5111
Fax
(816) 599-5959
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1503004 KS
Physician Assistant 363A00000X 2024035203 MO Primary

Addresses

Primary practice location

21 N 12TH St Ste 400
Kansas City, KS 66102-5172

Mailing address

21 N 12TH St Ste 400
Kansas City, KS 66102-5172
Phone (816) 599-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230606003064 NY Practitioner - Physician Assistant 8921465980 Reassigns benefits to 1 organization
I20241127002348 MO Practitioner - Physician Assistant 8921465980 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1503004KSMDPhysician Assistant
2024035203MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Nov 1, 2024 Accepting new patients
Swope Health Services CurrentSince Nov 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Apr 30, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Apr 30, 2023 Accepting new patients
Swope Health Services Past Accepting new patients
Swope Health Services PastSince Feb 7, 2021 Accepting new patients
Swope Health Services PastSince Nov 26, 2023 Accepting new patients
Swope Health Services Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

204 E North Ave
Belton, MO 64012
Phone (816) 331-7744

500 N Jesse James Rd
Excelsior Springs, MO 64024
Phone (816) 321-3240

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

11320 E Truman Rd
Independence, MO 64050
Phone (816) 599-5201

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

6406 E 87th St
Kansas City, MO 64138
Phone (816) 321-3200

3039 Troost Ave
Kansas City, MO 64109
Phone (816) 329-5233

6501 E 87th St
Kansas City, MO 64138
Phone (816) 444-8400

4736 Prospect Ave
Kansas City, MO 64130
Phone (816) 321-3346

2906 NW Vivion Rd
Riverside, MO 64150
Phone (816) 599-5050

111 E 210th St
Bronx, NY 10467

Organizations & group practices 9

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1194359539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "816-599-5111",
            "fax_number": "816-599-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "816-599-5111",
            "fax_number": "816-599-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1503004",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024035203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.