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VILMA HERRERA AGNP
NPI 1861840514
Nurse Practitioner in Great Falls, MT

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
500 15TH AVE S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 8, 2024, May 4, 2022, Apr 2, 2021 and 1 more (4 updates tracked since 2019).

About Vilma Herrera Agnp NPPES

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

VILMA HERRERA AGNP (NPI 1861840514) is an individual nurse practitioner in Great Falls, Montana, licensed in Montana (103362) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861840514
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVILMA HERRERACredential: AGNP
Location Address500 15TH AVE SGreat Falls, MT 59405-4324
Mailing Address500 15th Ave SGreat Falls, MT 59405-4324 · (406) 731-8888 · Fax (406) 731-8318
Phone(406) 731-8888
Fax(406) 731-8318
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2016
Last NPPES UpdateApril 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1861840514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MT · 103362
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
500 15TH AVE S, Great Falls, MT 59405
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Other Names 1

Former Name (1)Vilma Joaquin Alarcon Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Providence Health Plan.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

Vilma Herrera Agnp 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 ID2769776772
PECOS Enrollment IDI20160812001382
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.

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.
437 services107 patients
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.
72 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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.

DR. CHARLES D JENNINGS M.D.
Specialist
500 15TH AVE S, SUITE 1
GREAT FALLS, MT 59405
Cascade County (406) 455-3650
LEIGHA WELSH SLP
Speech-Language Pathologist
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 455-2200
JASON D. GRENSTEN M.S.P.T.
Physical Therapist
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 771-4788
MR. JAMES D HINDE MD
Physical Medicine & Rehabilitation
500 15TH AVE S, SUITE ONE
GREAT FALLS, MT 59405
Cascade County (406) 455-2149
AIMEE V HACHIGIAN MD, PC
Specialist
500 15TH AVE S, STE. G 12
GREAT FALLS, MT 59405
Cascade County (406) 731-8080
HALEY FRIELING LCSW
Social Worker (Clinical)
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 455-2282
DR. PATRICK EDWARD GALVAS D.O., PH.D.
Physical Medicine & Rehabilitation
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 761-3767
JESSE F LOPEZ M.P.T.
Physical Therapist
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 455-2661

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 Vilma Herrera's NPI number?

The NPI number for Vilma Herrera is 1861840514. It was assigned to this individual provider in the NPPES registry on June 2, 2016. The provider is also known as Vilma Joaquin Alarcon Np.

Where is Vilma Herrera located?

Vilma Herrera practices at 500 15th Ave S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Vilma Herrera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vilma Herrera enrolled in Medicare?

Yes. Vilma 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 Vilma Herrera accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Vilma 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 Vilma Herrera affiliated with any hospitals?

According to CMS data, Vilma Herrera is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Vilma Herrera was last updated on April 8, 2024. 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.