MONICA S MEREDITH HEON NP
NPI 1215952734
Nurse Practitioner in Worcester, MA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
55 LAKE AVE N, DEPARTMENT OF CARDIOLOGY, WORCESTER, MA 01655(508) 856-2948(508) 856-1550 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Monica S Meredith Heon Np NPPES

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

MONICA S MEREDITH HEON NP (NPI 1215952734) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (211422) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of University Of Massachusetts Medical School (2004).

NPPES Registry Identity

NPI1215952734
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMONICA S MEREDITH HEONCredential: NP
Location Address55 LAKE AVE N, DEPARTMENT OF CARDIOLOGYWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 856-1550
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2004
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 30, 2012
NPI 1215952734 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 MA · 211422
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.
55 LAKE AVE N, Worcester, MA 01655

Other Names 1

Former Name (1)Ms. Monica S Meredith Np

Other Identifiers 3

Medicaid0703834MA
Medicare PINNP5097MA
Medicare UPINQ49545MA

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

Monica S Meredith Heon 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 ID941231534
PECOS Enrollment IDI20121010000430
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services17 patients

Hospital Affiliations CMS Care Compare

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Monica Meredith Heon's NPI number?

The NPI number for Monica Meredith Heon is 1215952734. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Ms. Monica S Meredith Np.

Where is Monica Meredith Heon located?

Monica Meredith Heon practices at 55 Lake Ave N Department Of Cardiology, Worcester, MA 01655. The listed phone number is (508) 856-2948.

What is Monica Meredith Heon's specialty?

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

Is Monica Meredith Heon enrolled in Medicare?

Yes. Monica Meredith Heon 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.

Is Monica Meredith Heon affiliated with any hospitals?

According to CMS data, Monica Meredith Heon is affiliated with Concord Hospital.

When was this NPI record last updated?

The NPPES record for Monica Meredith Heon was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.