HEATHER MARIE MAGGIO FNP
NPI 1285085456
Nurse Practitioner - Family in Modesto, CA

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
1444 FLORIDA AVE STE 202, MODESTO, CA 95350(209) 524-1264(209) 524-8218 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Mar 2, 2020, Aug 17, 2016 and 1 more (4 updates tracked since 2016).

About Heather Marie Maggio Fnp NPPES

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

HEATHER MARIE MAGGIO FNP (NPI 1285085456) is an individual family provider in Modesto, California, licensed in California (NP95004673) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285085456
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER MARIE MAGGIOCredential: FNP
Location Address1444 FLORIDA AVE STE 202Modesto, CA 95350-4400
Mailing Address737 W Childs AveMerced, CA 95341-6805
Fax(209) 524-8218
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateJune 23, 20214 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1285085456 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 CA · NP95004673
Also ListedRegistered NurseTaxonomy 163W00000X · License RN683793 (CA)
1444 FLORIDA AVE STE 202, Modesto, CA 95350

Secondary Practice Locations 2

Location 11540 Florida AveModesto, CA 95350-4430 · Phone (209) 574-1030 · Fax (209) 574-1038
Location 21444 Florida Ave Ste 103Modesto, CA 95350-4400 · Phone (209) 524-1264 · Fax (209) 524-8218

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 Marie Maggio Fnp 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 ID2365739208
PECOS Enrollment IDI20160921001168
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 9

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.
332 services177 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.
316 services171 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.
97 services92 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
81 services81 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
79 services79 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.
57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims64 services$4.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims16 services$0.70 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 2

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

Nurse Practitioner (Family)
1444 FLORIDA AVE STE 202
MODESTO, CA 95350
Clinic/Center (Federally Qualified Health Center (FQHC))
1444 FLORIDA AVE STE 202
MODESTO, CA 95350

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 Maggio's NPI number?

The NPI number for Heather Maggio is 1285085456. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Heather Maggio located?

Heather Maggio practices at 1444 Florida Ave Ste 202, Modesto, CA 95350. The listed phone number is (209) 524-1264.

What is Heather Maggio's specialty?

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

Is Heather Maggio enrolled in Medicare?

Yes. Heather Maggio 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.

When was this NPI record last updated?

The NPPES record for Heather Maggio was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.