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: July 26, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Pediatrics
11 ORCHARD ST
PORT JERVIS, NY 12771
Physician Assistant
11 ORCHARD ST
PORT JERVIS, NY 12771
Physician Assistant
11 ORCHARD ST
PORT JERVIS, NY 12771
Pediatrics
11 ORCHARD ST
PORT JERVIS, NY 12771

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.

When was this NPI record last updated?

The NPPES record for Heather Colombo was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.