SOPHIA MARIE HERRERA APRN, FNP-C
NPI 1801348537
Nurse Practitioner - Family in Kingwood, TX
About Sophia Marie Herrera Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA MARIE HERRERA APRN, FNP-C (NPI 1801348537) is an individual family provider in Kingwood, Texas, licensed in Texas (AP135909) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Sophia Marie Herrera Aprn, Fnp-c 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
2Medicare enrollment records show Sophia Herrera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77098
- Reassigned Medicare billing, Texas enrollment
- 575 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 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
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 77339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGWOOD, TX 77339
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 Sophia Herrera's NPI number?
The NPI number for Sophia Herrera is 1801348537. It was assigned to this individual provider in the NPPES registry on October 28, 2016.
Where is Sophia Herrera located?
Sophia Herrera practices at 310 Kingwood Executive Dr Ste B, Kingwood, TX 77339. The listed phone number is (281) 764-9500.
What is Sophia Herrera's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sophia Herrera enrolled in Medicare?
Yes. Sophia 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.
Which organizations bill Medicare for Sophia Herrera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Herrera reassigns Medicare benefits to 2 organizations: Texas Digestive Disease Consultants, PLLC (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Sophia Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Herrera accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Sophia 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 Sophia Herrera was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.
# Sophia Marie Herrera, APRN, FNP-C · NPI 1801348537
Family physician in Kingwood, Texas. Individual provider, active in the CMS NPPES registry since October 28, 2016.
## Identity
- **NPI:** 1801348537 (Entity type: Individual)
- **Enumerated:** October 28, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP135909 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 KINGWOOD EXECUTIVE DR STE B, Kingwood, TX 77339-2752
- **Phone:** (281) 764-9500
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Texas Digestive Disease Consultants, PLLC (NPI 1013429968, Houston, TX); Baylor College Of Medicine (NPI 1881026664, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801348537) · Data from the CMS NPPES public registry.