MR. HERIBERTO SIERRA PMHNP-BC
NPI 1245900646
Nurse Practitioner - Psychiatric/Mental Health in Sinking Spring, PA
About Mr. Heriberto Sierra Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. HERIBERTO SIERRA PMHNP-BC (NPI 1245900646) is an individual psychiatric/mental health provider in Sinking Spring, Pennsylvania, licensed in North Carolina (5015150) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Heriberto Sierra Pmhnp-bc 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.
Medicare Billing Reassignments
11Medicare enrollment records show Heriberto Sierra reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sinking Spring, PA 19608
- Reassigned Medicare billing, Pennsylvania enrollment
Raleigh, NC 27617
- Reassigned Medicare billing, North Carolina enrollment
- 38 clinicians in this Medicare group
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 clinicians in this Medicare group
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Skowhegan, ME 04976
- Reassigned Medicare billing, Maine enrollment
- 2 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 348 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, North Carolina and Pennsylvania enrollments
- 712 clinicians in this Medicare group
Sherman Oaks, CA 91403
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SINKING SPRING, PA 19608
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 Heriberto Sierra's NPI number?
The NPI number for Heriberto Sierra is 1245900646. It was assigned to this individual provider in the NPPES registry on September 16, 2021.
Where is Heriberto Sierra located?
Heriberto Sierra practices at 55 Stella Dr, Sinking Spring, PA 19608. The listed phone number is (610) 442-1065.
What is Heriberto Sierra's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Heriberto Sierra enrolled in Medicare?
Yes. Heriberto Sierra 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.
Which organizations bill Medicare for Heriberto Sierra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heriberto Sierra reassigns Medicare benefits to 11 organizations: Serenity Health Telepsychiatry LLC (Sinking Spring, PA), Triangle Springs Physician Group, LLC (Raleigh, NC), Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME), Rumford Hospital (Rumford, ME) and 6 more organizations, listed in the Medicare section above. 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 Heriberto Sierra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heriberto Sierra accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Harvard Pilgrim Health Care and UnitedHealthcare list Heriberto Sierra 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 Heriberto Sierra was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Mr. Heriberto Sierra, PMHNP-BC · NPI 1245900646
Psychiatric/Mental Health physician in Sinking Spring, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1245900646 (Entity type: Individual)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5015150 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 STELLA DR, Sinking Spring, PA 19608-9069
- **Phone:** (610) 442-1065 · **Fax:** (610) 655-5267
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Serenity Health Telepsychiatry LLC (NPI 1033817929, Sinking Spring, PA); Triangle Springs Physician Group, LLC (NPI 1063901312, Raleigh, NC); Bridgton Hospital (NPI 1154370153, Bridgton, ME); Central Maine Medical Center (NPI 1689653487, Lewiston, ME); Rumford Hospital (NPI 1205991122, Rumford, ME); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245900646) · Data from the CMS NPPES public registry.