Active NPI
Mariana Herrera, ACNPC-AG
- Sports Medicine (Preventive Medicine) Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 0024191600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Health Corporation | Current | Accepting new patients | |
| 1 Care Partners LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Procare Wellness Network Inc | Acute Care | Current | Accepting new patients |
| Arc of Life Medical Center LLC | Past | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lynchburg, VA
- NPI 1205652898
DC
-
- Physical Medicine & Rehabilitation Physician
- Virginia Beach, VA
- NPI 1760174825
Acute Care
-
- Internal Medicine Physician
- Roanoke, VA
- NPI 1407117625
-
- Sports Medicine (Preventive Medicine) Physician
- Virginia Beach, VA
- NPI 1467373084
-
- Anesthesiology Physician
- Madison, WI
- NPI 1073711503
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.