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HEIDI CROSTON
NPI 1124554258
Nurse Practitioner - Family in Massillon, OH

Active since May 10, 2017PECOS Enrolled
6395 GREAT COURT CIR NW, MASSILLON, OH 44646(330) 418-7614 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2021, May 10, 2017 (2 updates tracked since 2017).

About Heidi Croston NPPES

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

HEIDI CROSTON (NPI 1124554258) is an individual family provider in Massillon, Ohio, licensed in Ohio (APRN.CNP.0026846) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124554258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEIDI CROSTON
Location Address6395 GREAT COURT CIR NWMassillon, OH 44646-9539
Mailing Address6395 Great Court Cir NwMassillon, OH 44646-9539 · (330) 418-7614
Phone(330) 418-7614
Sole ProprietorYes
Enumeration DateMay 10, 2017
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1124554258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0026846
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.306332 (OH)
6395 GREAT COURT CIR NW, Massillon, OH 44646
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Croston 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.

Medicare Billing Reassignment

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

Community Care Health Network LLC
432 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 44646 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.

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 Heidi Croston's NPI number?

The NPI number for Heidi Croston is 1124554258. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Heidi Croston located?

Heidi Croston practices at 6395 Great Court Cir NW, Massillon, OH 44646. The listed phone number is (330) 418-7614.

What is Heidi Croston's specialty?

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

Is Heidi Croston enrolled in Medicare?

Yes. Heidi Croston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Croston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Croston reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). 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 Heidi Croston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Croston accept?

Health plans from CareSource list Heidi Croston 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 Heidi Croston was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.