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HEATHER A RETHMAN CNP-ACNP
NPI 1235390618
Nurse Practitioner - Acute Care in Lima, OH

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
730 W MARKET ST, LIMA, OH 45801(419) 226-4310(419) 226-4315 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather A Rethman Cnp-acnp NPPES

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

HEATHER A RETHMAN CNP-ACNP (NPI 1235390618) is an individual acute care provider in Lima, Ohio, licensed in Ohio (APRN.CNP.09901) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235390618
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameHEATHER A RETHMANCredential: CNP-ACNP
Location Address730 W MARKET STLima, OH 45801-4602
Mailing AddressPo Box 636930Cincinnati, OH 45263-0001 · (513) 981-5015
Phone(419) 226-4310
Fax(419) 226-4315
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 19, 2008
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1235390618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.09901
730 W MARKET ST, Lima, OH 45801
Open in Google Maps ↗

Other Identifiers 1

Medicaid2970450OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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 A Rethman Cnp-acnp 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 ID2860567625
PECOS Enrollment IDI20080814000006
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 5

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.

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.
297 services170 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
243 services146 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
162 services154 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

NADIA GHALLAB
Internal Medicine
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 226-4310
DR. NANCY RAMPE PHARMD, MHA
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 996-5593
DR. JEFF JUNIOR NERESTANT DPM
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Allen County (407) 202-0269
SHEZORE BHATTI DO
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
TODD HIXSON CCP
Perfusionist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
NICOLE MARIE OUATTARA FNP-C
Nurse Practitioner
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
DR. MATTHEW T KUHN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
KRISTA AMSTUTZ PHARM D
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 226-9025

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 Rethman's NPI number?

The NPI number for Heather Rethman is 1235390618. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Heather Rethman located?

Heather Rethman practices at 730 W Market St, Lima, OH 45801. The listed phone number is (419) 226-4310.

What is Heather Rethman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Heather Rethman enrolled in Medicare?

Yes. Heather Rethman 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 Rethman accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Heather Rethman 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 Rethman affiliated with any hospitals?

According to CMS data, Heather Rethman is affiliated with Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Rethman was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.