HEATHER SEYBOLDT-RUPAR
NPI 1043140221
Nurse Practitioner - Gerontology in Conneaut, OH

Active since May 20, 2026PECOS Enrolled
22 PARRISH RD, CONNEAUT, OH 44030(731) 234-8120 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Seyboldt-rupar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER SEYBOLDT-RUPAR (NPI 1043140221) is an individual gerontology provider in Conneaut, Ohio, licensed in Ohio (APRN.CNP.0042466) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Geneva.

NPPES Registry Identity

NPI1043140221
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHEATHER SEYBOLDT-RUPAR
Location Address22 PARRISH RDConneaut, OH 44030-1178
Mailing AddressPo Box 269084, Dept 1102Oklahoma City, OK 73126 · (731) 394-1145
Sole ProprietorNo
Enumeration DateMay 20, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1043140221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OH · APRN.CNP.0042466
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.0042466 (OH)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN.CNP.0042466 (OH)
22 PARRISH RD, Conneaut, OH 44030

Secondary Practice Location 1

Location 11140 S BroadwayGeneva, OH 44041-9143 · Phone (731) 394-1145

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heather Seyboldt-rupar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
22 PARRISH RD
CONNEAUT, OH 44030
Skilled Nursing Facility
22 PARRISH RD
CONNEAUT, OH 44030
Skilled Nursing Facility
22 PARRISH RD
CONNEAUT, OH 44030
Nursing Facility/Intermediate Care Facility
22 PARRISH RD
CONNEAUT, OH 44030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Seyboldt-rupar's NPI number?

The NPI number for Heather Seyboldt-rupar is 1043140221. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Heather Seyboldt-rupar located?

Heather Seyboldt-rupar practices at 22 Parrish Rd, Conneaut, OH 44030. The listed phone number is (731) 234-8120.

What is Heather Seyboldt-rupar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Heather Seyboldt-rupar enrolled in Medicare?

Yes. Heather Seyboldt-rupar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Seyboldt-rupar was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.