KRISZTINA HERRERA – Nurse Practitioner, NPI 1780117390

KRISZTINA HERRERA is a healthcare provider. based in Van nuys, California. specializing in NURSE PRACTITIONER. They hold a License No. 95005227 (CA). The NPI Number for KRISZTINA HERRERA is 1780117390

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRISZTINA HERRERA
NPI
1780117390
Phone
(818) 988-9090
Address
13750 VICTORY BLVD
Enumeration Date
10 April 2017
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187192000
Graduation Year
2016 (10 years ago)
PAC ID
2062787492
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20171010003055
Address ID
CA913676701WO5601XAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for KRISZTINA HERRERA

  • 13750, Victory Boulevard, Van Nuys, Los Angeles, Los Angeles County, California, 91401, United States

    VAN NUYS, CA 914012324

    Phone: (818) 988-9090

    Type: Location

  • 12400, Ventura Boulevard, Studio City, Los Angeles, Los Angeles County, California, 91604, United States

    282

    STUDIO CITY, CA 916042406

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Boston Scientific Corporation ($119).

Total Amount

$144

General + Research + Ownership

Payments

5

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171010003055INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

What NPI should I save for KRISZTINA HERRERA?
Save NPI 1780117390 if you need a stable reference for KRISZTINA HERRERA.
Is KRISZTINA HERRERA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KRISZTINA HERRERA work in?
You can think of KRISZTINA HERRERA as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KRISZTINA HERRERA?
We surface Van Nuys, California for KRISZTINA HERRERA based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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