CRYSTAL HERRERA APRN
NPI 1831820182
Nurse Practitioner - Acute Care in San Antonio, TX

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
111 DALLAS ST, SAN ANTONIO, TX 78205(210) 297-6500 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Oct 14, 2022, Sep 2, 2022 (3 updates tracked since 2022).

About Crystal Herrera Aprn NPPES

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

CRYSTAL HERRERA APRN (NPI 1831820182) is an individual acute care provider in San Antonio, Texas, licensed in Texas (1096615) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1831820182
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCRYSTAL HERRERACredential: APRN
Location Address111 DALLAS STSan Antonio, TX 78205-1201
Mailing Address23119 Ih 10 W Ste 904San Antonio, TX 78257-1820 · (210) 897-9194
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1831820182 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 TX · 1096615
111 DALLAS ST, San Antonio, TX 78205

Secondary Practice Location 1

Location 123119 Ih 10 W Ste 9044San Antonio, TX 78257-1764 · Phone (210) 972-8058

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

Crystal Herrera Aprn 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 ID2860860897
PECOS Enrollment IDI20221123001771
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 4

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.
383 services179 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.
332 services170 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services113 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.
114 services110 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Radiology (Diagnostic Radiology)
111 DALLAS ST
SAN ANTONIO, TX 78205
Psychiatry & Neurology (Psychiatry)
111 DALLAS ST
SAN ANTONIO, TX 78205
Internal Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Physical Medicine & Rehabilitation
111 DALLAS ST
SAN ANTONIO, TX 78205
Occupational Therapist
111 DALLAS ST
SAN ANTONIO, TX 78205
Nurse Practitioner (Family)
111 DALLAS ST
SAN ANTONIO, TX 78205
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Long Term Care Hospital
111 DALLAS ST, 4TH FL
SAN ANTONIO, TX 78205

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 Crystal Herrera's NPI number?

The NPI number for Crystal Herrera is 1831820182. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Crystal Herrera located?

Crystal Herrera practices at 111 Dallas St, San Antonio, TX 78205. The listed phone number is (210) 297-6500.

What is Crystal Herrera's specialty?

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

Is Crystal Herrera enrolled in Medicare?

Yes. Crystal 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 Crystal Herrera accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Crystal 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.

Is Crystal Herrera affiliated with any hospitals?

According to CMS data, Crystal Herrera is affiliated with Baptist Medical Center and Baptist Neighborhood Hospital Thousand Oaks.

When was this NPI record last updated?

The NPPES record for Crystal Herrera was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.