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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEATHER MACIAS FNP-BC
NPI 1104796382
Nurse Practitioner - Family in Katy, TX

Active since November 11, 2025PECOS Enrolled
25705 KATY FWY STE 120, KATY, TX 77494(346) 527-0160(512) 782-9316 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Nov 11, 2025 (2 updates tracked since 2025).

About Heather Macias Fnp-bc NPPES

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

HEATHER MACIAS FNP-BC (NPI 1104796382) is an individual family provider in Katy, Texas, licensed in Texas (1203965) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104796382
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER MACIASCredential: FNP-BC
Location Address25705 KATY FWY STE 120Katy, TX 77494-1289
Mailing Address25705 Katy Fwy Ste 120Katy, TX 77494-1289 · (346) 527-0160 · Fax (512) 782-9316
Phone(346) 527-0160
Fax(512) 782-9316
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 11, 2025
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1104796382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1203965
25705 KATY FWY STE 120, Katy, TX 77494
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Macias Fnp-bc 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 ID3072007889
PECOS Enrollment IDI20251209004380
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 Reassignment

Medicare enrollment records show Heather Macias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Happy Health And Wellness Of America PA LLC
145 mi
Family Medicine
318 RICHLAND WEST CIR STE A
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 25 clinicians in this Medicare group
NPI 1770344889 (254) 776-8008

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 77494 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Macias's NPI number?

The NPI number for Heather Macias is 1104796382. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Heather Macias located?

Heather Macias practices at 25705 Katy Fwy Ste 120, Katy, TX 77494. The listed phone number is (346) 527-0160.

What is Heather Macias's specialty?

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

Is Heather Macias enrolled in Medicare?

Yes. Heather Macias 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 organization bills Medicare for Heather Macias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Macias reassigns Medicare benefits to Happy Health And Wellness Of America PA LLC (Waco, TX). The 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 Macias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Macias accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Heather Macias 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 Macias was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.