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

MR. HERIBERTO SIERRA PMHNP-BC
NPI 1245900646
Nurse Practitioner - Psychiatric/Mental Health in Sinking Spring, PA

Q: 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.

Q: 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.

Q: 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 53 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.

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment

55 STELLA DR, SINKING SPRING, PA 19608(610) 442-1065(610) 655-5267 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2023, Sep 16, 2021 (2 updates tracked since 2021).

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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 and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245900646

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. HERIBERTO SIERRACredential: PMHNP-BC

Location Address55 STELLA DRSinking Spring, PA 19608-9069

Mailing Address55 Stella DrSinking Spring, PA 19608-9069 · (610) 442-1065 · Fax (610) 655-5267

Phone(610) 442-1065

Fax(610) 655-5267

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 16, 2021

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1245900646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NC · 5015150✔ Licensed in CA · NP95031129✔ Licensed in ME · CNP221342✔ Licensed in PA · SP031386

55 STELLA DR, Sinking Spring, PA 19608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Harvard Pilgrim Health Care, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

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

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.

PECOS PAC ID345639415

PECOS Enrollment IDI20260101000398

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.

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.

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

78 services63 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services16 patients

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.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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

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

SERENITY HEALTH TELEPSYCHIATRY LLC

Registered Nurse (Psychiatric/Mental Health)

55 STELLA DR
SINKING SPRING, PA 19608

Berks County (919) 703-1400

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.

What insurance does Heriberto Sierra accept?

Health plans from Blue Cross and Blue Shield of NC, Harvard Pilgrim Health Care, Oscar Health Plan of North Carolina, Inc, Providence Health Plan 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 53 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.