Andrea Lynn Herrera, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06328 Issued in TX

Practice address

4532 N Mesa St Ste 2a
El Paso, TX 79912-6287

Phone

(915) 544-0326

Fax

(915) 544-2897

NPI assigned

Jul 28, 2009

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00164

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Wound Care LLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1750142071
  Medicare reassignment
• El Paso Integrated Physicians Group

  dba El Paso Integrated Physicians Group - Surecare Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
  • NPI 1528505708
  NPD
• Innovative Wound Healing & Dermatology

  • Dermatology Physician
  • Bonney Lake, WA
  • NPI 1538741053
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1700017530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799233157",
            "telephone_number": "915-577-0051",
            "fax_number": "915-577-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126287",
            "telephone_number": "915-544-0326",
            "fax_number": "915-544-2897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8815 Dyer St Ste 140",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799042039",
            "country_code": "US",
            "telephone_number": "915-544-0326",
            "fax_number": "915-544-2897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204786202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Salcido Herrera, RDH
• Alejandra Herrera
• Amanda Herrera
• Amanda Rae Herrera, CPNP-PC
• Amber Monique Herrera, RN
• Andrew Herrera, AGACNP-BC
• Anna Marie Herrera, MD
• Bertha Herrera, M.S. CCC-SLP
• Brenda Herrera
• Catherine Camille Herrera, M.S CCC-SLP

• Medical Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.