KIMBERLY SHIRLEY HERRERA PA-C
NPI 1912308727
Physician Assistant in Salt Lake City, UT

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment
181 E MEDICAL TOWER DR, SALT LAKE CITY, UT 84107(801) 314-4300 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2022, Apr 8, 2019, Mar 3, 2019 and 2 more (5 updates tracked since 2018).

About Kimberly Shirley Herrera Pa-c NPPES

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

KIMBERLY SHIRLEY HERRERA PA-C (NPI 1912308727) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12347157-1206) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912308727
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY SHIRLEY HERRERACredential: PA-C
Location Address181 E MEDICAL TOWER DRSalt Lake City, UT 84107-4872
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 314-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 11, 2014
Last NPPES UpdateApril 5, 20225 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1912308727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in UT · 12347157-1206 Licensed in IL · 085005820
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

181 E MEDICAL TOWER DR, Salt Lake City, UT 84107

Secondary Practice Locations 2

Location 11010 Executive Dr Ste 250Westmont, IL 60559 · Phone (630) 324-0402
Location 2676 N Saint Clair St Ste 415Chicago, IL 60611-3133 · Phone (312) 926-3627

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

Kimberly Shirley Herrera Pa-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 ID9537483839
PECOS Enrollment IDI20220712002106
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
151 services151 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
105 services67 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.
84 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$76.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Podiatrist
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Family Medicine
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Internal Medicine (Endocrinology, Diabetes & Metabolism)
181 E MEDICAL TOWER DR, SUITE 310
MURRAY, UT 84107
Internal Medicine
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Emergency Medicine
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Internal Medicine (Geriatric Medicine)
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Internal Medicine (Rheumatology)
181 E MEDICAL TOWER DR
MURRAY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912308727, enumerated as an "individual" on September 11, 2014.

The provider is located at 181 E MEDICAL TOWER DR SALT LAKE CITY, UT 84107 and the phone number is (801) 314-4300.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.

Kimberly Herrera is affiliated with: INTERMOUNTAIN MEDICAL CENTER, INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL and RIVERTON HOSPITAL.