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OSCAR HERRERA
NPI 1003460064
Nurse Practitioner - Family in Puyallup, WA

Active since July 29, 2019PECOS Enrolled
220 15TH AVE SE, PUYALLUP, WA 98372(253) 697-8610 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Sep 22, 2019, Jul 29, 2019 (3 updates tracked since 2019).

About Oscar Herrera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSCAR HERRERA (NPI 1003460064) is an individual family provider in Puyallup, Washington, licensed in Washington (AP60957049) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bonney Lake.

NPPES Registry Identity

NPI1003460064
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameOSCAR HERRERA
Location Address220 15TH AVE SEPuyallup, WA 98372-3797
Mailing Address220 15th Ave SePuyallup, WA 98372-3797
Phone(253) 697-8610
Sole ProprietorNo
Enumeration DateJuly 29, 2019
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1003460064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60957049
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60957049 (WA)
220 15TH AVE SE, Puyallup, WA 98372
Open in Google Maps ↗

Secondary Practice Location 1

Location 19230 Sky Island Dr EBonney Lake, WA 98391-7385 · Phone (253) 750-6000 · Fax (253) 750-6100

Other Identifiers 1

Medicaid2141636WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oscar Herrera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Oscar Herrera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System
0.2 mi
Pediatrics
1706 S MERIDIAN STE 120
Puyallup, WA 98371
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1700396652 (253) 848-8797
Carbon Health Medical Group Of Florida PA
31 mi
Urgent Care
11100 NE 6TH ST
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 44 clinicians in this Medicare group
NPI 1689249096 (206) 350-7345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
220 15TH AVE SE, SUITE C
PUYALLUP, WA 98372
Pierce County (253) 435-3441
PACMED CLINICS
Clinic/Center (Multi-Specialty)
220 15TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 435-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oscar Herrera's NPI number?

The NPI number for Oscar Herrera is 1003460064. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Oscar Herrera located?

Oscar Herrera practices at 220 15th Ave SE, Puyallup, WA 98372. The listed phone number is (253) 697-8610.

What is Oscar Herrera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Oscar Herrera enrolled in Medicare?

Yes. Oscar Herrera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oscar Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oscar Herrera reassigns Medicare benefits to 2 organizations: Multicare Health System (Puyallup, WA) and Carbon Health Medical Group Of Florida PA (Bellevue, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oscar Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oscar Herrera accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Oscar Herrera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oscar Herrera was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.