NICOLE L HETTRICH PA
NPI 1093969404
Physician Assistant - Medical in Wethersfield, CT

Active since November 12, 2008PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 696-2400(860) 696-2410 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole L Hettrich Pa NPPES

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

NICOLE L HETTRICH PA (NPI 1093969404) is an individual medical provider in Wethersfield, Connecticut, licensed in Connecticut (000972) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093969404
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE L HETTRICHCredential: PA
Location Address1025 SILAS DEANE HWYWethersfield, CT 06109-4229
Mailing Address1025 Silas Deane HwyWethersfield, CT 06109-4229 · (860) 696-2400 · Fax (860) 696-2410
Fax(860) 696-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 12, 2008
Last NPPES UpdateJanuary 17, 2017
NPI 1093969404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 000972
1025 SILAS DEANE HWY, Wethersfield, CT 06109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole L Hettrich Pa 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 ID42509408
PECOS Enrollment IDI20160525001324
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
58 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services49 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
24 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Social Worker (Clinical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Family Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109

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 Nicole Hettrich's NPI number?

The NPI number for Nicole Hettrich is 1093969404. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Nicole Hettrich located?

Nicole Hettrich practices at 1025 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 696-2400.

What is Nicole Hettrich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Hettrich enrolled in Medicare?

Yes. Nicole Hettrich 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.

When was this NPI record last updated?

The NPPES record for Nicole Hettrich was last updated on January 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.