Individual provider Active NPI

Jennifer Herrera, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1609542372
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
262615 Issued in AZ
Practice address
15521 W Bell Rd
Surprise, AZ 85374-3437
Phone
(623) 465-6390
NPI assigned
Aug 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 262615 AZ Primary

Addresses

Primary practice location

15521 W Bell Rd
Surprise, AZ 85374-3437

Mailing address

18929 W Oregon Ave
Litchfield Park, AZ 85340-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211025003295 AZ Practitioner - Nurse Practitioner 5496143448 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alante Primary Care W LLC CurrentSince Dec 15, 2024 Accepting new patients
Good Health Medical, PLLC CurrentSince Aug 29, 2022 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Pain and Palliative Associates of Arizona CurrentSince Nov 8, 2023 Accepting new patients
Good Health Medical, PLLC CurrentSince Aug 29, 2022 Accepting new patients

Locations

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

3436 W Bell Rd
Phoenix, AZ 85053

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

8502 E Princess Dr
Ste 200E
Scottsdale, AZ 85255
Phone (480) 631-4978

Organizations & group practices 6

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": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1609542372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18929 W OREGON AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743437",
            "telephone_number": "623-465-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.