Chase Alexander Herrera, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

331859 Issued in LA

Practice address

815 S Pine St
Vivian, LA 71082-3353

Phone

(318) 375-3239

Fax

(318) 375-2755

NPI assigned

Mar 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Caddo Hospital Service DistrictGroup PAC ID 4385544584, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional HH SVC of Minden Home health agency, Minden, LA, CCN 197026
• Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
• Gentiva Hospice, Bossier City, LA, CCN 191580
• North Caddo Medical Center Hospital, Vivian, LA, CCN 191304
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• North Caddo Medical Center Nursing home, CCN 19Z304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAJHBA
• Direct secure messaging: chaseherrera@ncmc.allscriptsdirect.net

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.

• Benton Medical

  • Clinic/Center
  • Benton, LA
  • NPI 1932585841

  LA

  Medicare reassignment NPD
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Emergency Medicine, LA

  Medicare reassignment NPD
• North Caddo Hospital Service District

  • Family Medicine Physician
  • Plain Dealing, LA
  • NPI 1477798668

  Family Medicine, LA

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  Emergency Medicine, LA

  Medicare reassignment NPD
• Blanchard Medical

  • Rural Health Clinic/Center
  • Shreveport, LA
  • NPI 1760089791

  LA

  Medicare reassignment
• North Caddo Hospital Service District

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866

  Family Medicine

  NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  Emergency Medicine

  NPD
• North Caddo Medical Center Community RX

  • Community/Retail Pharmacy
  • Bossier City, LA
  • NPI 1174315584
  NPD (past)
• South Bossier Medical

  • Rural Health Clinic/Center
  • Bossier City, LA
  • NPI 1649993585

  Family Medicine

  NPD (past)
• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Bossier City, LA
  • NPI 1740229178

  Family Medicine

  NPD (past)

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

• Minden Home Health Services, Inc.

  • Home Health Agency
  • Minden, LA
  • NPI 1548267412
  Care Compare affiliation
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Hospital

  Care Compare affiliation
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1417124959

  Nursing home

  Care Compare affiliation
• Primestar Home Health of Nwla Inc

  • Home Health Agency
  • Minden, LA
  • NPI 1952350456
  Care Compare affiliation
• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Bossier City, LA
  • NPI 1740229178

  Hospice

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1487282125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823314",
            "telephone_number": "183-375-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823353",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Burt Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "LA",
            "postal_code": "710064900",
            "country_code": "US",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-326-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823353",
            "country_code": "US",
            "telephone_number": "318-375-3235",
            "fax_number": "318-375-5938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5948 N Market St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711072017",
            "country_code": "US",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CHASE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "331859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "331859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "331859",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522817",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Gibson-Smith, LPC
• Patrick Gladney, MASTER
• Constance La'Shay Hall, COTA
• Tunisia Hampton, MASTERS
• Russell B Hennessey
• Kristen M. Hill, NP
• Lilian Ibe
• Informed Choice Medical Equipment
• Cristin Denise Jackson, DMD
• Christina Johnson

• Family Medicine Physician in Vivian, LA
• Providers in Vivian, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.