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SARA K HERBERT FNP-BC
NPI 1912349283
Nurse Practitioner - Family in Washington, MO

Active since July 26, 2013PECOS EnrolledAccepts Medicare Assignment
89.23/100
CMS Quality Rating
851 E 5TH ST STE 208, WASHINGTON, MO 63090(636) 239-8097 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Apr 15, 2020 (2 updates tracked since 2020).

About Sara K Herbert Fnp-bc NPPES

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

SARA K HERBERT FNP-BC (NPI 1912349283) is an individual family provider in Washington, Missouri, licensed in Missouri (2013027047) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Washington, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1912349283
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA K HERBERTCredential: FNP-BC
Location Address851 E 5TH ST STE 208Washington, MO 63090-3129
Mailing Address851 E 5th St Ste 208Washington, MO 63090-3129 · (636) 239-8097
Phone(636) 239-8097
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 26, 2013
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1912349283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2013027047
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2013027047 (MO)
851 E 5TH ST STE 208, Washington, MO 63090
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11165A E Cherry StTroy, MO 63379-1520 · Phone (636) 239-8097
Location 215945 Clayton Rd Ste 220Ballwin, MO 63011-2491 · Phone (636) 239-8097
Location 3300 Winding Woods Dr Ste 206O Fallon, MO 63366-4773 · Phone (636) 239-8097
Location 41326 S Service Rd W Ste 30Sullivan, MO 63080-2306 · Phone (636) 239-8097

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company 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

Sara K Herbert Fnp-bc 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 ID8628201597
PECOS Enrollment IDI20140429001865, I20230109001774
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 7

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 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.
228 services213 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
26 services24 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
18 services18 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.
18 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

89.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.14
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ANN RUSSELL AGACNP-BC
Nurse Practitioner (Acute Care)
851 E 5TH ST STE 208
WASHINGTON, MO 63090
Franklin County (636) 239-8097
BENJAMIN INGENTHRON PA
Physician Assistant (Medical)
851 E 5TH ST STE 208
WASHINGTON, MO 63090
Franklin County (636) 208-1760
MERCY CLINIC PAIN MANAGEMENT, LLC
Anesthesiology (Pain Medicine)
851 E 5TH ST STE 208
WASHINGTON, MO 63090
Franklin County (636) 390-8097
PHILIP JOHN HOFFMAN D.O.
Internal Medicine (Sports Medicine)
851 E 5TH ST STE 208
WASHINGTON, MO 63090
Franklin County (636) 239-8097

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 Sara Herbert's NPI number?

The NPI number for Sara Herbert is 1912349283. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Where is Sara Herbert located?

Sara Herbert practices at 851 E 5th St Ste 208, Washington, MO 63090. The listed phone number is (636) 239-8097.

What is Sara Herbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara Herbert enrolled in Medicare?

Yes. Sara Herbert 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 Sara Herbert accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Sara Herbert 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 Sara Herbert affiliated with any hospitals?

According to CMS data, Sara Herbert is affiliated with Mercy Hospital Washington and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Sara Herbert was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.