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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAURA IBANEZ HERRERA
NPI 1245029636
Physician Assistant in Matthews, NC

Active since May 02, 2025PECOS EnrolledAccepts Medicare Assignment
4105 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105(704) 316-3095 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Mar 10, 2026 (2 updates tracked since 2026).

About Laura Ibanez Herrera NPPES

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

LAURA IBANEZ HERRERA (NPI 1245029636) is an individual physician assistant in Matthews, North Carolina, licensed in North Carolina (0010-16317) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245029636
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA IBANEZ HERRERA
Location Address4105 MATTHEWS MINT HILL RDMatthews, NC 28105-3633
Mailing Address4105 Matthews Mint Hill RdMatthews, NC 28105-3633 · (704) 316-3095
Phone(704) 316-3095
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 2, 2025
Last NPPES UpdateJune 21, 20262 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
✔ NPI 1245029636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-16317
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4105 MATTHEWS MINT HILL RD, Matthews, NC 28105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Ibanez Herrera is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769952571
PECOS Enrollment IDI20260521002917
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 9

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

TONIA DAVIS BAILEY FNP
Nurse Practitioner
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Mecklenburg County (704) 316-3095
CAROLINAS PHYSICIANS NETWORK INC.
Family Medicine
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Mecklenburg County (704) 545-4609
RONALD DESROUILLERES DO
Family Medicine
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Mecklenburg County (704) 316-3095
DR. BETH L CARLSON M.D.
Family Medicine
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Mecklenburg County (704) 384-9920
DR. KISHA ROCHELLE YOUNG M.D.
Family Medicine
4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105
Mecklenburg County (704) 384-9920
SEIJI BORJA FNP
Nurse Practitioner
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Mecklenburg County (704) 316-3095
NOVANT MEDICAL GROUP, INC.
Family Medicine
4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105
Mecklenburg County (704) 384-9920
DR. LLOYD BRIDGES M.D.
Family Medicine
4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105
Mecklenburg County (704) 384-9920

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 Laura Ibanez Herrera's NPI number?

The NPI number for Laura Ibanez Herrera is 1245029636. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Laura Ibanez Herrera located?

Laura Ibanez Herrera practices at 4105 Matthews Mint Hill Rd, Matthews, NC 28105. The listed phone number is (704) 316-3095.

What is Laura Ibanez Herrera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Ibanez Herrera enrolled in Medicare?

Yes. Laura Ibanez Herrera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laura Ibanez Herrera was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.