HEATHER STOKES NP
NPI 1124583117
Nurse Practitioner - Family in Spartanburg, SC

Active since February 05, 2019PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1330 BOILING SPRINGS RD STE 2500, SPARTANBURG, SC 29303(864) 585-5433(864) 591-4053 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2022, Dec 29, 2020, Apr 8, 2019 and 2 more (5 updates tracked since 2019).

About Heather Stokes Np NPPES

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

HEATHER STOKES NP (NPI 1124583117) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (107134) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124583117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER STOKESCredential: NP
Location Address1330 BOILING SPRINGS RD STE 2500Spartanburg, SC 29303-4214
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 591-4053
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 5, 2019
Last NPPES UpdateNovember 15, 20225 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1124583117 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 SC · 107134
1330 BOILING SPRINGS RD STE 2500, Spartanburg, SC 29303

Other Identifiers 5

MedicaidNP5744SC
OtherSCE6836084SC · Medicare Pin
OtherSCE6834722SC · Medicare Pin
OtherSCE683J577SC · Medicare Pin
OtherSCE6835019SC · Medicare Pin

Accepted Insurance

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

Heather Stokes Np 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 ID4486995230
PECOS Enrollment IDI20190404002446
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 14

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.
393 services193 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
186 services100 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
129 services88 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
103 services50 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.
75 services75 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 services42 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine (Cardiovascular Disease)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine (Interventional Cardiology)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Nurse Practitioner (Adult Health)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Nurse Practitioner (Family)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303

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 Stokes's NPI number?

The NPI number for Heather Stokes is 1124583117. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Heather Stokes located?

Heather Stokes practices at 1330 Boiling Springs Rd Ste 2500, Spartanburg, SC 29303. The listed phone number is (864) 585-5433.

What is Heather Stokes's specialty?

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

Is Heather Stokes enrolled in Medicare?

Yes. Heather Stokes 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.

What insurance does Heather Stokes accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Heather Stokes 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.

Is Heather Stokes affiliated with any hospitals?

According to CMS data, Heather Stokes is affiliated with Spartanburg Medical Center, Cherokee Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Stokes was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.