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Active NPI 1467493767 Individual Practitioner Male Practitioner

John Herrera , PA

Physician Assistant • Olympia, WA

Professional Overview & Biography Verified Profile Summary

John Herrera, PA is a registered healthcare professional specializing in Physician Assistant in Olympia, WA. Practice services are available at 413 LILLY RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

413 Lilly Rd Ne

Olympia, WA 985065133

Telephone 3604919480
Associated Practice Facility / Clinic
🏢 Credena Health Llc Facility NPI 1487696787

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
112 Specialists

Practicing in Olympia, WA (3774 Statewide)

Telehealth Adoption Rate
11.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA 1016774

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8358236 (WA)
Commercial Insurance / Payer ID Wa Crime Victims
8935586
Commercial Insurance / Payer ID Wa L & I
0153539
Commercial Insurance / Payer ID Champus
A012
Commercial Insurance / Payer ID Regence Bs
1659HE

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jeffrey Howard , MD

Emergency Medicine

NPI 1003857145

Doctor of Medicine (M.D.)

Raffy Jatamosa

Nurse Practitioner

NPI 1013542885
Amory Ballantine , LICSW

Social Worker - Clinical

NPI 1023748407

Licensed Independent Clinical Social Worker

Eileen Ravella , PA-C

Physician Assistant

NPI 1043237134

Physician Assistant (Certified)

Dr. Bruce Lincoln , MD

Emergency Medicine

NPI 1053357889

Doctor of Medicine (M.D.)

Wendy Kruse , ARNP

Nurse Practitioner - Family

NPI 1063188795

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at 413 LILLY RD NE, OLYMPIA, WA 985065133 (Tel: 3604919480)

📍
Updated Business Mailing Address November 27, 2007

Registered at PO BOX 5007, LACEY, WA 985095007 (Tel: 8005990166)

👤
Provider Name / Credentials Updated November 27, 2007

Recorded as JOHN HERRERA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Physician Assistant (License #1016774 in WA)

🟢
Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467493767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: November 27, 2007
Sole Proprietor: No

Mailing Address

Po Box 5007

Lacey, WA 985095007

Phone: 8005990166

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.