HEATHER RABORN NP-C
NPI 1235684192
Nurse Practitioner - Family in Augusta, GA

Active since August 22, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901(706) 724-8611(706) 724-6202 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2023, Jun 12, 2018, Aug 22, 2016 (3 updates tracked since 2016).

About Heather Raborn Np-c NPPES

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

HEATHER RABORN NP-C (NPI 1235684192) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN203407) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Evans.

NPPES Registry Identity

NPI1235684192
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER RABORNCredential: NP-C
Location Address1348 WALTON WAY STE 5100Augusta, GA 30901-5108
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230
Fax(706) 724-6202
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 22, 2016
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
NPI 1235684192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN203407
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License RN203407 (GA)
1348 WALTON WAY STE 5100, Augusta, GA 30901

Secondary Practice Location 1

Location 14350 Towne Centre Dr Ste 1500Evans, GA 30809-3332 · Phone (706) 421-1700 · Fax (706) 396-0618

Accepted 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 Raborn Np-c 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 ID7012203102
PECOS Enrollment IDI20160916000672
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
804 services548 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
192 services189 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
31 services19 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%119 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Interventional Cardiology)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Physician Assistant
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Physician Assistant
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901

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 Raborn's NPI number?

The NPI number for Heather Raborn is 1235684192. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Heather Raborn located?

Heather Raborn practices at 1348 Walton Way Ste 5100, Augusta, GA 30901. The listed phone number is (706) 724-8611.

What is Heather Raborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Raborn enrolled in Medicare?

Yes. Heather Raborn 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 Raborn accept?

Health plans from Alliant Health Plans, Inc. list Heather Raborn 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 Raborn affiliated with any hospitals?

According to CMS data, Heather Raborn is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Heather Raborn was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.