Individual provider Active NPI

Stephanie Jo Herrera, MD

  • Otolaryngology Physician
  • Lake Jackson, TX
National Provider Identifier
1245534064
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
N8304 Issued in TX
Practice address
215 Oak Dr S
Suite F
Lake Jackson, TX 77566-5629
Phone
(979) 299-1520
Fax
(979) 299-1421
NPI assigned
Jan 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X N8304 TX Primary

Addresses

Primary practice location

215 Oak Dr S
Suite F
Lake Jackson, TX 77566-5629

Mailing address

215 Oak Dr S
Suite F
Lake Jackson, TX 77566-5629
Phone (979) 299-1520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHerrera@lakejacksonent.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000438 TX Practitioner - Otolaryngology 2466621206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephanie Herrera, M.D and Associates, PAGroup PAC ID 3577732320, 3 clinicians

Practice addresses (Care Compare)

215 Oak Dr S
Suite F
Lake Jackson, TX 77566-5617
Phone (979) 299-1520

Hospital & facility affiliations

  • CHI St Luke'S Health Brazosport Hospital, Lake Jackson, TX, CCN 450072
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Merit-based Incentive Payment System (MIPS)

Final score
92.33 of 100Reported as group
Quality
99.72
Promoting interoperability
100
Improvement activities
40
Cost
74.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8304TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Herrera, M.D and Associates, PA Otolaryngology CurrentSince Feb 7, 2011 Accepting new patients

Locations

215 Oak Dr S
Ste F
Lake Jackson, TX 77566
Phone (979) 299-1520

Interoperability endpoints

  • Direct secure messaging: sherrera@lakejacksonent.emadirect.md
  • Direct secure messaging: sherrera456914@direct.stlukeshealth.org

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": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1245534064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR S",
            "address_2": "SUITE F",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665629",
            "telephone_number": "979-299-1520",
            "fax_number": "979-299-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S",
            "address_2": "SUITE F",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665629",
            "telephone_number": "979-299-1520",
            "fax_number": "979-299-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "N8304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHerrera@lakejacksonent.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "215 Oak Dr S",
            "address_2": "Suite F",
            "city": "Lake Jackson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775665629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.