MR. LARRY HEREDIA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043302920

MR. LARRY HEREDIA (CRNA) is a healthcare provider. based in Dover, Delaware. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. L60A00240 (DE). The NPI Number for MR. LARRY HEREDIA (CRNA) is 1043302920

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. LARRY HEREDIA (CRNA)
NPI
1043302920
Phone
(300) 744-7088
Address
640 S State St
Enumeration Date
29 September 2006
Last Update Date
27 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022252380
Graduation Year
1997 (29 years ago)
PAC ID
4789746538
Group Practice PAC ID
5890089353
Professional Enrollment ID
I20090831000482
Address ID
DE197132146NE537XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

266 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in DE

Provider Addresses for MR. LARRY HEREDIA (CRNA)

  • 640 S State St

    Dover, DE 199013530

    Phone: (300) 744-7088

    Fax: (302) 744-6407

    Type: Location

  • 191, Mill Street, Rockport, Knox County, Maine, 04856, United States

    ROCKLAND, DE 197230191

    Phone: (302) 651-4000

    Fax: (302) 651-4945

    Type: Mailing

  • Nemours/Alfred I. duPont Hospital for Children, 1600, Rockland Road, Wilmington, New Castle County, Delaware, 19803, United States

    WILMINGTON, DE 198033607

    Phone: (302) 651-4200

    Fax: (302) 651-5365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $562.

Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($197).

Total Amount

$562

General + Research + Ownership

Payments

25

Total payment records

General Amount

$562

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2009-08-31

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
I20090831000482ICertified Registered Nurse Anesthetist (Crna)DETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope5454$0
00812Anesthesia for exam of colon using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

Loading plans...

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: 5890089353View full group profile
NameSpecialtyState
Physician AssistantPA
Certified Registered Nurse Anesthetist (Crna)DE
Physician AssistantPA
Nurse PractitionerDE
-DE
Gastroenterology, Internal MedicineDE
A N E S T H E S I O L O G YNY
Physician AssistantDE
G A S T R O E N T E R O L O G YDE
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MR. LARRY HEREDIA (CRNA) have a public NPI I can cite?
Public records show MR. LARRY HEREDIA (CRNA) under NPI 1043302920.
Is MR. LARRY HEREDIA (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MR. LARRY HEREDIA (CRNA) as active.
How should patients interpret MR. LARRY HEREDIA (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MR. LARRY HEREDIA (CRNA). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. LARRY HEREDIA (CRNA)?
MR. LARRY HEREDIA (CRNA) shows a connection to Dover, Delaware in registry-derived data.
Who maintains MR. LARRY HEREDIA (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MR. ROBERT J. MCKENNETT (CRNA)

Certified Registered Nurse Anesthetist
Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States
NPI: 1609872480

Unknown Individual

Certified Registered Nurse Anesthetist
PO BOX 10925
NPI: 1225034929

CATHERINE MARIE WESTROM (CRNA)

Certified Registered Nurse Anesthetist
102E Centre Blvd
NPI: 1821081886

CAROLYN GRANT LANE (CRNA)

Certified Registered Nurse Anesthetist
Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States
NPI: 1154317717

KIMBERLY A WESTRA (CRNA)

Certified Registered Nurse Anesthetist
2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States
NPI: 1861489189

CONSTANCE M BRAUER (CRNA)

Certified Registered Nurse Anesthetist
2 Reads Way
NPI: 1265421598

MRS. CAROL FEINOUR (CRNA)

Certified Registered Nurse Anesthetist
Quail Run, Goshen County, Wyoming, United States
NPI: 1134100076

LYNN E. BOWERS (C.R.N.A.)

Certified Registered Nurse Anesthetist
100, Scull Terrace, Capitol Green, Dover, Kent County, Delaware, 19901, United States
NPI: 1144296625