LUKE DANIEL HEALD FNP
NPI 1285483701
Nurse Practitioner - Family in Saint Albans, VT

Active since May 16, 2024PECOS EnrolledAccepts Medicare Assignment
133 FAIRFIELD ST, SAINT ALBANS, VT 05478(802) 524-5911 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luke Daniel Heald Fnp NPPES

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

LUKE DANIEL HEALD FNP (NPI 1285483701) is an individual family provider in Saint Albans, Vermont, licensed in Vermont (101.0137112) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medical Center Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285483701
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLUKE DANIEL HEALDCredential: FNP
Location Address133 FAIRFIELD STSaint Albans, VT 05478-1726
Mailing Address665 Morey RdSheldon, VT 05483-8202 · (802) 370-2016
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1285483701 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 VT · 101.0137112
133 FAIRFIELD ST, Saint Albans, VT 05478

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

Luke Daniel Heald 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 ID2264979236
PECOS Enrollment IDI20240808000685
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 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.
36 services36 patients
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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 20

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

Urology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Nurse Practitioner (Acute Care)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Pediatrics
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Emergency Medicine
133 FAIRFIELD ST, NORTHWESTERN MEDICAL CENTER
SAINT ALBANS, VT 05478
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Physical Therapist
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
ST ALBANS, VT 05478
Obstetrics & Gynecology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478

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 Luke Heald's NPI number?

The NPI number for Luke Heald is 1285483701. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Luke Heald located?

Luke Heald practices at 133 Fairfield St, Saint Albans, VT 05478. The listed phone number is (802) 524-5911.

What is Luke Heald's specialty?

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

Is Luke Heald enrolled in Medicare?

Yes. Luke Heald 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.

Is Luke Heald affiliated with any hospitals?

According to CMS data, Luke Heald is affiliated with Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Luke Heald was last updated on May 16, 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.