HEATHER L CAIN FNP-C
NPI 1265858229
Nurse Practitioner in Hilton Head Island, SC

Active since March 13, 2014PECOS EnrolledAccepts Medicare Assignment
25 HOSPITAL CENTER CMNS STE 200, HILTON HEAD ISLAND, SC 29926(843) 837-4400(843) 837-4440 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather L Cain Fnp-c NPPES

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

HEATHER L CAIN FNP-C (NPI 1265858229) is an individual nurse practitioner in Hilton Head Island, South Carolina, licensed in South Carolina (27005) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265858229
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER L CAINCredential: FNP-C
Location Address25 HOSPITAL CENTER CMNS STE 200Hilton Head Island, SC 29926-2841
Mailing AddressPo Box 2330Bluffton, SC 29910-2330 · (843) 837-4400 · Fax (843) 837-4440
Fax(843) 837-4440
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 13, 2014
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
NPI 1265858229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SC · 27005
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 27005 (SC)
25 HOSPITAL CENTER CMNS STE 200, Hilton Head Island, SC 29926

Secondary Practice Locations 3

Location 11813 Richmond AvePort Royal, SC 29935-2014 · Phone (843) 837-4400 · Fax (843) 837-4440
Location 211 Arley Way Ste 102Bluffton, SC 29910-4883 · Phone (843) 837-4400 · Fax (843) 837-4440
Location 3350 Fording Island Rd Ste 100Bluffton, SC 29910-5168 · Phone (843) 837-4400 · Fax (843) 837-4440

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 L Cain Fnp-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 ID749646008
PECOS Enrollment IDI20230512000116, I20250922003737
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,348 services296 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.
750 services640 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
539 services461 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
248 services248 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
234 services204 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
218 services201 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 6

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

Physician Assistant
25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND, SC 29926
Physician Assistant
25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND, SC 29926
Dermatology
25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND, SC 29926
Physician Assistant
25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND, SC 29926
Physician Assistant
25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND, SC 29926
Physician Assistant
25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND, SC 29926

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 Cain's NPI number?

The NPI number for Heather Cain is 1265858229. It was assigned to this individual provider in the NPPES registry on March 13, 2014.

Where is Heather Cain located?

Heather Cain practices at 25 Hospital Center Cmns Ste 200, Hilton Head Island, SC 29926. The listed phone number is (843) 837-4400.

What is Heather Cain's specialty?

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

Is Heather Cain enrolled in Medicare?

Yes. Heather Cain 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 Cain accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Heather Cain 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 Cain was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.