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MRS. HEATHER COLOMBO NP
NPI 1205416658
Nurse Practitioner in Port Jervis, NY

Active since April 10, 2021PECOS Enrolled
11 ORCHARD ST, PORT JERVIS, NY 12771(845) 672-3995 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2021, Apr 10, 2021 (2 updates tracked since 2021).

About Mrs. Heather Colombo Np NPPES

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

MRS. HEATHER COLOMBO NP (NPI 1205416658) is an individual nurse practitioner in Port Jervis, New York, licensed in New York (347558) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205416658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. HEATHER COLOMBOCredential: NP
Location Address11 ORCHARD STPort Jervis, NY 12771-2027
Mailing Address11 Orchard StPort Jervis, NY 12771-2027 · (845) 672-3995
Phone(845) 672-3995
Sole ProprietorNo
Enumeration DateApril 10, 2021
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1205416658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 347558
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11 ORCHARD ST, Port Jervis, NY 12771
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Heather Colombo Np 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 Heather Colombo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Little Pediatrics P.C.
Same address
Pediatrics
11 ORCHARD ST
Port Jervis, NY 12771
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Little Pediatrics PC
  • 3 clinicians in this Medicare group
NPI 1932611340 (609) 661-2945

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 12771 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Other Providers at the Same Location NPPES 4

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

DR. SARA J. LITTLE MD
Pediatrics
11 ORCHARD ST
PORT JERVIS, NY 12771
Orange County (845) 672-3995
RICHARD BLAZESKI
Physician Assistant
11 ORCHARD ST
PORT JERVIS, NY 12771
Orange County (845) 672-3995
BRITTANY MAUREEN KOZALA PA-C
Physician Assistant
11 ORCHARD ST
PORT JERVIS, NY 12771
Orange County (845) 672-3995
LITTLE PEDIATRICS P.C.
Pediatrics
11 ORCHARD ST
PORT JERVIS, NY 12771
Orange County (609) 661-2945

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 Colombo's NPI number?

The NPI number for Heather Colombo is 1205416658. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Heather Colombo located?

Heather Colombo practices at 11 Orchard St, Port Jervis, NY 12771. The listed phone number is (845) 672-3995.

What is Heather Colombo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Colombo enrolled in Medicare?

Yes. Heather Colombo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Colombo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Colombo reassigns Medicare benefits to Little Pediatrics P.C. (Port Jervis, NY). 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 Colombo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Colombo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather Colombo 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 Colombo was last updated on December 1, 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.