OSCAR HERRERA – Family Nurse Practitioner, NPI 1003460064

OSCAR HERRERA is a healthcare provider. based in Bonney lake, Washington. specializing in Family Nurse Practitioner. They hold a License No. AP60957049 (WA). The NPI Number for OSCAR HERRERA is 1003460064

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
OSCAR HERRERA
NPI
1003460064
Phone
(253) 750-6000
Address
9230 Sky Island Dr E
Enumeration Date
29 July 2019
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
6709218928
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20191108002015

Contacts

Secure Messaging
oherrera9702@fhsce.catholichealth.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

Provider Addresses for OSCAR HERRERA

  • 9230 Sky Island Dr E

    Bonney Lake, WA 983917385

    Phone: (253) 750-6000

    Fax: (253) 750-6100

    Type: Location

  • 220, 15th Avenue Southeast, Puyallup, Pierce County, Washington, 98372, United States

    PUYALLUP, WA 983723797

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-11-08

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
I20191108002015INurse PractitionerWATBD

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 98391)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

What is the registry number for OSCAR HERRERA?
The registry entry for OSCAR HERRERA shows NPI 1003460064.
Does the public listing show OSCAR HERRERA as active?
OSCAR HERRERA's NPI record reflects an active status in NPPES.
Which specialty label fits OSCAR HERRERA?
NPPES ties OSCAR HERRERA to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to OSCAR HERRERA?
OSCAR HERRERA shows a connection to Bonney Lake, Washington in registry-derived data.
Who maintains OSCAR HERRERA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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