Rosa Heredia, NURSE PRACTITIONER
NPI 1699196303 · Primary Care Nurse Practitioner · Bronx, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rosa Heredia, NURSE PRACTITIONER is a Primary Care Nurse Practitioner provider in Bronx, NY (NPI 1699196303).
Provider details
- NPI number
- 1699196303
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 338421 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
41 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $67 |
Typical Medicare-allowed amounts for these services range $67–$67 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 339 | 143 |
| Finasteride | 214 | 84 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 103 | 40 |
| Vibegronbrand: Gemtesa | 83 | 24 |
| Levofloxacin | 78 | 65 |
| Mirabegronbrand: Myrbetriq | 69 | 23 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 61 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$678 across 26 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-23
- Last updated
- 2013-12-23
Frequently asked questions
- What is Rosa Heredia's NPI number?
- Rosa Heredia's National Provider Identifier (NPI) is 1699196303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rosa Heredia's specialty?
- Rosa Heredia is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rosa Heredia located?
- Rosa Heredia's practice location on file with NPPES is 234 East 149th Street, Bronx, NY 10451.
- What is Rosa Heredia's phone number?
- The practice phone number listed in the NPPES registry for Rosa Heredia is (718) 579-5182.
- Does Rosa Heredia accept Medicare?
- Rosa Heredia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rosa Heredia's NPI active?
- Yes — Rosa Heredia's NPI (1699196303) is active in the NPPES registry as of the last update on 2013-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.