Siomara Hercules, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02240474 Issued in AZ

Practice address

13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629

Phone

(623) 512-4390

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Urology LLCGroup PAC ID 9537566930, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: siomara.hercules.1@15230.direct.athenahealth.com

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.

• Arizona Urology LLC

  • Urology Physician
  • Goodyear, AZ
  • NPI 1770025439

  AZ

  Medicare reassignment Care Compare group NPD
• Palo Verde Hematology Oncology LTD.

  • Hematology & Oncology Physician
  • Glendale, AZ
  • NPI 1447272372
  NPD (past)

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

• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200

  Hospital

  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188

  Hospital

  Care Compare affiliation
• Hospital Development of West Phoenix Inc

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1093791170

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1891553665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 302",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "623-512-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 302",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "623-512-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCULES",
        "first_name": "SIOMARA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F02240474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Hemesath, MD
• Sophon Heng, DDS
• Pamela Hensley, NP
• Esther Heo, PHARMD
• Marisol G Hercegovac
• Shannon Elise Herman, PT, DPT
• Adriana Hernandez Onofre, RBT
• Denise Hernandez, FNP-C
• Miguel R Hernandez, P.T.
• Nicole Hernandez, OTR/L

• All providers in Goodyear, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.