HEATHER ORT APN
NPI 1093252504
Nurse Practitioner - Family in Mishawaka, IN

Active since January 22, 2017PECOS EnrolledAccepts Medicare Assignment
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Mar 16, 2020, Feb 7, 2020 and 2 more (5 updates tracked since 2017).

About Heather Ort Apn NPPES

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

HEATHER ORT APN (NPI 1093252504) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71007551A) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093252504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER ORTCredential: APN
Location Address5215 HOLY CROSS PKWYMishawaka, IN 46545-1469
Mailing Address20149 Indian School RdLakeville, IN 46536-9784 · (574) 309-3884
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 22, 2017
Last NPPES UpdateFebruary 7, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1093252504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71007551A
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 28147370A (IN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71007551A (IN)
5215 HOLY CROSS PKWY, Mishawaka, IN 46545

Other Identifiers 1

Medicaid300007014IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Ort Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941576565
PECOS Enrollment IDI20171026002888
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Ort reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
5215 HOLY CROSS PARKWAY
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 216 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2606 PEDDLERS VILLAGE RD STE 210
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Registered Nurse
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Physician Assistant
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner (Neonatal, Critical Care)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Dietitian, Registered
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545

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 Ort's NPI number?

The NPI number for Heather Ort is 1093252504. It was assigned to this individual provider in the NPPES registry on January 22, 2017.

Where is Heather Ort located?

Heather Ort practices at 5215 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.

What is Heather Ort's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Ort enrolled in Medicare?

Yes. Heather Ort is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Ort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Ort reassigns Medicare benefits to 2 organizations: Saint Joseph Regional Medical Center-South Bend Campus, Inc (Mishawaka, IN) and Maple City Health Care Center, Inc (Goshen, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Ort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Ort accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Heather Ort as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Ort was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.