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

Q: 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.

Q: What is Vilma Herrera's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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, Mountain Health CO-OP, PacificSource Health Plans and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Vilma Herrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Benefis Hospitals Inc

1.7 mi

Multi-Specialty

1401 25TH ST S
Great Falls, MT 59405

Reassigned Medicare billing, Montana enrollment
637 clinicians in this Medicare group

NPI 1780968974 (406) 455-5000

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 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

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

Quality

93.1

Promoting Interoperability

Improvement Activities

Cost

62.61

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.

Which organization bills Medicare for Vilma Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vilma Herrera reassigns Medicare benefits to Benefis Hospitals Inc (Great Falls, MT). The 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 Vilma Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vilma Herrera accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, 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.