HEATON FAMILY PRACTICE, LLC
NPI 1154588499
Family Medicine in Roaring Spring, PA
About Heaton Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATON FAMILY PRACTICE, LLC (NPI 1154588499) is a healthcare organization registered as a family medicine in Roaring Spring, Pennsylvania and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Fred Matthew Heaton, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heaton Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Heaton Family Practice, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D0184761
Heaton Family Practice LLC · Roaring Spring, PAFrequently 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 Heaton Family Practice, LLC's NPI number?
The NPI number for Heaton Family Practice, LLC is 1154588499. It was assigned to this organization in the NPPES registry on May 22, 2008.
Where is Heaton Family Practice, LLC located?
Heaton Family Practice, LLC is located at 100 Nason Dr Ste 103, Roaring Spring, PA 16673. The listed phone number is (814) 224-2213.
What is Heaton Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Heaton Family Practice, LLC enrolled in Medicare?
Yes. Heaton Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heaton Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Heaton Family Practice, LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Heaton Family Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0184761) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Heaton Family Practice, LLC was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Heaton Family Practice, Llc · NPI 1154588499
Family Medicine organization in Roaring Spring, Pennsylvania. Organization record, active in the CMS NPPES registry since May 22, 2008.
## Identity
- **NPI:** 1154588499 (Entity type: Organization)
- **Enumerated:** May 22, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Fred Heaton, MEMBER
## Practice location
- **Address:** 100 NASON DR STE 103, Roaring Spring, PA 16673-1201
- **Phone:** (814) 224-2213 · **Fax:** (814) 224-5879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154588499) · Data from the CMS NPPES public registry.