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ELLEN J HERRERA NP
NPI 1891523700
Nurse Practitioner in Madison, WI

Active since July 23, 2024PECOS EnrolledAccepts Medicare Assignment
20 S PARK ST, MADISON, WI 53715(608) 287-2090 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Dec 18, 2024, Jul 23, 2024 (3 updates tracked since 2024).

About Ellen J Herrera Np NPPES

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

ELLEN J HERRERA NP (NPI 1891523700) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (15634-33) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891523700
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELLEN J HERRERACredential: NP
Location Address20 S PARK STMadison, WI 53715-1348
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 287-2090
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 23, 2024
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1891523700 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 WI · 15634-33
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.
20 S PARK ST, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW 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

Ellen J Herrera Np 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 ID3870033582
PECOS Enrollment IDI20240909004149
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.

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

JEFFREY S BLAKESLEY DO
Psychiatry & Neurology (Neurology)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2090
ELIZA A. BENNETT M.D.
Obstetrics & Gynecology
20 S PARK ST, OB/GYN CLINIC
MADISON, WI 53715
Dane County (608) 287-2830
RANDY S HEIDEL MD
Internal Medicine
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2250
ANGELA B. MORGAN PA-C
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2250
LUKE CHRISTOPHER ADDESSO MD
Pediatrics
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2580
ELIZABETH RUSHING PA
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2090
DR. SONYA THOMPSON MD
Obstetrics & Gynecology
20 S PARK ST
MADISON, WI 53715
Dane County (608) 914-2200
SHANDA R WELLS PHD
Psychologist
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2340

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 Ellen Herrera's NPI number?

The NPI number for Ellen Herrera is 1891523700. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Ellen Herrera located?

Ellen Herrera practices at 20 S Park St, Madison, WI 53715. The listed phone number is (608) 287-2090.

What is Ellen Herrera's specialty?

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

Is Ellen Herrera enrolled in Medicare?

Yes. Ellen 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 Ellen Herrera accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Ellen 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 Ellen Herrera affiliated with any hospitals?

According to CMS data, Ellen Herrera is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Ellen Herrera was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.