JOHN HERRERA AGACNP
NPI 1417616707
Nurse Practitioner - Acute Care in Miami, FL

Active since December 14, 2021PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 325-5511 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2022, Dec 14, 2021 (2 updates tracked since 2021).

About John Herrera Agacnp NPPES

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

JOHN HERRERA AGACNP (NPI 1417616707) is an individual acute care provider in Miami, Florida, licensed in Florida (APRN11014622) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417616707
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN HERRERACredential: AGACNP
Location Address1400 NW 12TH AVEMiami, FL 33136-1087
Mailing Address1400 Nw 12th AveMiami, FL 33136-1087 · (305) 325-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 14, 2021
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
NPI 1417616707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · APRN11014622
1400 NW 12TH AVE, Miami, FL 33136

Accepted 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

John Herrera Agacnp 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 ID345632428
PECOS Enrollment IDI20220124000058
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
115 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
62 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136

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 John Herrera's NPI number?

The NPI number for John Herrera is 1417616707. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is John Herrera located?

John Herrera practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 325-5511.

What is John Herrera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Herrera enrolled in Medicare?

Yes. John 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.

What insurance does John Herrera accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list John 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 John Herrera was last updated on January 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.