Individual provider Active NPI

Mariana Herrera, ACNPC-AG

  • Sports Medicine (Preventive Medicine) Physician
  • Virginia Beach, VA
National Provider Identifier
1659193183
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
0024191600 Issued in VA
Practice address
4020 Bonney Rd Ste 105
Virginia Beach, VA 23452-1765
Phone
(434) 849-4295
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083S0010X 0024191600 VA Primary
Acute Care Nurse Practitioner 363LA2100X 0024191600 VA

Addresses

Primary practice location

4020 Bonney Rd Ste 105
Virginia Beach, VA 23452-1765

Mailing address

4020 Bonney Rd Ste 105
Virginia Beach, VA 23452-1765
Phone (434) 849-4295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20250305000859 VA Practitioner - Nurse Practitioner 3779004932 Reassigns benefits to 4 organizations
I20250630000359 DC Practitioner - Nurse Practitioner 3779004932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
1 Care Partners LLCGroup PAC ID 1850813254, 13 clinicians
Procare Wellness Network IncGroup PAC ID 5294194171, 10 clinicians

Practice addresses (Care Compare)

105 Landmark Dr
Stuart, VA 24171-9401
Phone (336) 663-2273

293 Independence Blvd
Virginia Beach, VA 23462-5466
Phone (757) 222-3100

550 S Carlin Springs Rd
Arlington, VA 22204-1022
Phone (336) 663-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Jan 19, 2025 Accepting new patients
1 Care Partners LLC CurrentSince Jun 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2026 Accepting new patients
Procare Wellness Network Inc Acute Care CurrentSince Oct 1, 2025 Accepting new patients
Arc of Life Medical Center LLC PastSince Oct 1, 2025 Accepting new patients
Mareas Youth and Wellness Sports Medicine Past Accepting new patients

Locations

9505 Reisterstown Rd
Ste 2NW
Owings Mills, MD 21117
Phone (443) 571-8489

9505 Reisterstown Rd
Ste 2NCNW
Owings Mills, MD 21117

550 S Carlin Springs Rd
Arlington, VA 22204
Phone (703) 379-7200

1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816

2200 Landover Pl
Lynchburg, VA 24501
Phone (434) 846-4626

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

512 Houston St
Staunton, VA 24401
Phone (540) 886-2335

105 Landmark Dr
Stuart, VA 24171
Phone (276) 694-4230

293 Independence Blvd
Ste 330
Virginia Beach, VA 23462
Phone (757) 222-3100

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1659193183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 BONNEY RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521765",
            "telephone_number": "434-849-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 BONNEY RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521765",
            "telephone_number": "434-849-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MARIANA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "VA",
            "license": "0024191600",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024191600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.