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

Q: 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.

Q: What is Jennifer Heffernan's specialty?

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

Active since November 10, 2009PECOS Enrolled

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: October 18, 2026.

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

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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.

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

Phone(610) 326-9460

Sole ProprietorNo

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Heffernan Rn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Heffernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health And Dental Care, Inc

Same address

Federally Qualified Health Center (FQHC)

351 W SCHUYLKILL RD STE G-15A
Pottstown, PA 19465

Reassigned Medicare billing, Pennsylvania enrollment
67 clinicians in this Medicare group

NPI 1295994341 (610) 326-9460

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

Quality

81.13

Promoting Interoperability

Improvement Activities

Cost

48.42

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.

STEVEN ROSS LUBIN DMD

Dentist (General Practice)