SOPHIE R HERLAN CRNA
NPI 1396284907
Nurse Anesthetist, Certified Registered in Houston, TX

Active since February 15, 2017Accepts Medicare Assignment
93.5/100
CMS Quality Rating
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042(713) 620-4000 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2020, Feb 15, 2017 (2 updates tracked since 2017).

About Sophie R Herlan Crna NPPES

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

SOPHIE R HERLAN CRNA (NPI 1396284907) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (AP133094) and active in the NPI registry since February 2017. She is affiliated with Texas Health Presbyterian Hospital Plano, maintains a secondary practice location in Dallas, and is a graduate of Baylor College Of Medicine (2016).

NPPES Registry Identity

NPI1396284907
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSOPHIE R HERLANCredential: CRNA
Location Address1500 CITYWEST BLVD, STE. 300Houston, TX 77042
Mailing AddressPo Box 840853Dallas, TX 75284-0865 · (713) 620-4000
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2016
Enumeration DateFebruary 15, 2017
Last NPPES UpdateFebruary 12, 20202 updates tracked since enumeration
✔ NPI 1396284907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP133094
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1500 CITYWEST BLVD, Houston, TX 77042

Secondary Practice Location 1

Location 16606 Lbj Fwy Ste 200Dallas, TX 75240-6524 · Phone (972) 715-5000

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

Sophie R Herlan Crna 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 ID7113201898
PECOS Enrollment IDI20170223002150

Medicare Billing Reassignments

9

Medicare enrollment records show Sophie Herlan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1015 W MEDICAL CENTER BLVD STE 1200
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 710 clinicians in this Medicare group
Anesthesiology
2400 N I 35
Waxahachie, TX 75165
  • Reassigned Medicare billing, Texas enrollment
  • 234 clinicians in this Medicare group
Anesthesiology
700 HIGHLANDER BLVD STE 415
Arlington, TX 76015
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
Anesthesiology
3625 N HALL ST STE 800
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 221 clinicians in this Medicare group
Anesthesiology
14850 QUORUM DR STE 400
Dallas, TX 75254
  • Reassigned Medicare billing, Texas enrollment
  • 62 clinicians in this Medicare group
Anesthesiology
729 W BEDFORD EULESS RD, SUITE 105
Hurst, TX 76053
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
Anesthesiology
1403 DARTMOUTH DR
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 447 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3140 LEGACY DR STE 210
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 22 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77042 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, SUITE 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042

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 Sophie Herlan's NPI number?

The NPI number for Sophie Herlan is 1396284907. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Sophie Herlan located?

Sophie Herlan practices at 1500 Citywest Blvd Ste. 300, Houston, TX 77042. The listed phone number is (713) 620-4000.

What is Sophie Herlan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sophie Herlan enrolled in Medicare?

Yes. Sophie Herlan 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 Sophie Herlan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Herlan reassigns Medicare benefits to 9 organizations: U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX), Endo Sedation LLC (Webster, TX), Ntx Anesthesiology Consultants PLLC (Waxahachie, TX), Anesthesiology Consultants Of North Texas PA (Arlington, TX), Metropolitan Anesthesia Consultants, LLP (Dallas, TX) and 4 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 Sophie Herlan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophie Herlan accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Sophie Herlan 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.

Is Sophie Herlan affiliated with any hospitals?

According to CMS data, Sophie Herlan is affiliated with Texas Health Presbyterian Hospital Plano and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Sophie Herlan was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.