Individual provider Active NPI

Hilary Herasimchuk, ENP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1194822973
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
633675 Issued in TX
Practice address
11800 Astoria Blvd
Houston, TX 77089-6041
Phone
(281) 929-6100
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 633675 TX Primary

Addresses

Primary practice location

11800 Astoria Blvd
Houston, TX 77089-6041

Mailing address

PO Box 591572
Houston, TX 77259-1572
Phone (281) 486-0174

Other identifiers 2

IdentifierTypeStateIssuer
155648201MedicaidTX
155648202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Inpatient Services, PA Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Richmond Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner Past Accepting new patients
St. David'S Carenow Urgent Care PLLC PastSince Jan 14, 2020 Accepting new patients
Memorial Southeast Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Harris Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients
Stat Care of Texas, PA Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1194822973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591572",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772591572",
            "telephone_number": "281-486-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ASTORIA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896041",
            "telephone_number": "281-929-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERASIMCHUK",
        "first_name": "HILARY",
        "credential": "ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "633675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155648201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155648202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.