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

SOPHIA MARIE HERRERA APRN, FNP-C
NPI 1801348537
Nurse Practitioner - Family in Kingwood, TX

Active since October 28, 2016PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
310 KINGWOOD EXECUTIVE DR STE B, KINGWOOD, TX 77339(281) 764-9500 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 8, 2026, Apr 12, 2018, Feb 16, 2018 and 1 more (4 updates tracked since 2016).

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

NPI1801348537
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA MARIE HERRERACredential: APRN, FNP-C
Location Address310 KINGWOOD EXECUTIVE DR STE BKingwood, TX 77339-2752
Mailing Address310 Kingwood Executive Dr Ste BKingwood, TX 77339-2752 · (281) 764-9500
Phone(281) 764-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 28, 2016
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1801348537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP135909
Also ListedRegistered NurseTaxonomy 163W00000X · License 770130 (TX)
310 KINGWOOD EXECUTIVE DR STE B, Kingwood, TX 77339
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

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.

PECOS PAC ID7416218391
PECOS Enrollment IDI20180312000643
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

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.

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.
98 services72 patients

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.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES

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

VINCENT DUY NGUYEN M.D.
Internal Medicine (Gastroenterology)
310 KINGWOOD EXECUTIVE DR STE B
KINGWOOD, TX 77339
Harris County (281) 764-9500

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.

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 4 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 35 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.