JENNIFER M HEFFERNAN RN, CRNP
NPI 1275860389
Nurse Practitioner - Family in Pottstown, PA

Active since November 10, 2009PECOS EnrolledAccepts Medicare Assignment
78.36/100
CMS Quality Rating
351 W SCHUYLKILL RD STE G-15A, POTTSTOWN, PA 19465(610) 326-9460 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Jul 13, 2016 (2 updates tracked since 2016).

About Jennifer M Heffernan Rn, Crnp NPPES

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

JENNIFER M HEFFERNAN RN, CRNP (NPI 1275860389) is an individual family provider in Pottstown, Pennsylvania, licensed in Pennsylvania (SP010567) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275860389
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER M HEFFERNANCredential: RN, CRNP
Location Address351 W SCHUYLKILL RD STE G-15APottstown, PA 19465-7438
Mailing Address351 W Schuylkill Rd Ste G-15aPottstown, PA 19465-7438 · (610) 326-9460
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 10, 2009
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1275860389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP010567
351 W SCHUYLKILL RD STE G-15A, Pottstown, PA 19465

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

Jennifer M Heffernan Rn, Crnp 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 ID42355679
PECOS Enrollment IDI20100306000012
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 2

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.
31 services29 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19465 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.13
Promoting Interoperability98
Improvement Activities40
Cost48.42

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.73 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$81.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Dentist
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Dental Hygienist
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Social Worker (Clinical)
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Physical Therapist
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Nurse Practitioner (Family)
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Dental Hygienist
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465
Dental Hygienist
351 W SCHUYLKILL RD STE G-15A
POTTSTOWN, PA 19465

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 Jennifer Heffernan's NPI number?

The NPI number for Jennifer Heffernan is 1275860389. It was assigned to this individual provider in the NPPES registry on November 10, 2009.

Where is Jennifer Heffernan located?

Jennifer Heffernan practices at 351 W Schuylkill Rd Ste G-15a, Pottstown, PA 19465. The listed phone number is (610) 326-9460.

What is Jennifer Heffernan's specialty?

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

Is Jennifer Heffernan enrolled in Medicare?

Yes. Jennifer Heffernan 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 Jennifer Heffernan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer Heffernan 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 Jennifer Heffernan affiliated with any hospitals?

According to CMS data, Jennifer Heffernan is affiliated with Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Heffernan was last updated on April 23, 2024. 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.