HEATHER LYNNE PROVENCE PMHNP
NPI 1295221612
Nurse Practitioner - Psychiatric/Mental Health in New Providence, NJ

Q: What is Heather Provence's NPI number?

The NPI number for Heather Provence is 1295221612. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Heather Provence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Heather Provence was last updated on July 3, 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.

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment

890 MOUNTAIN AVE, BEHAVIORAL HEALTH & COGNITIVE THERAPY, NEW PROVIDENCE, NJ 07974(908) 277-8900(908) 508-8919 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2023, Aug 4, 2022, Jul 9, 2018 (3 updates tracked since 2018).

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About Heather Lynne Provence Pmhnp NPPES

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

HEATHER LYNNE PROVENCE PMHNP (NPI 1295221612) is an individual psychiatric/mental health provider in New Providence, New Jersey, licensed in New Jersey (26NJ01289400) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295221612

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHEATHER LYNNE PROVENCECredential: PMHNP

Location Address890 MOUNTAIN AVE, BEHAVIORAL HEALTH & COGNITIVE THERAPYNew Providence, NJ 07974

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(908) 277-8900

Fax(908) 508-8919

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 9, 2018

Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration

NPPES CertifiedJuly 3, 2023

✔ NPI 1295221612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NJ · 26NJ01289400✔ Licensed in NY · F402394-1

890 MOUNTAIN AVE, New Providence, NJ 07974

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Other Identifiers 1

Medicaid05265370NY

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 Lynne Provence Pmhnp 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 ID345585741

PECOS Enrollment IDI20220812000065

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

43 services19 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.

43 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07974 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

MS. MARGARET S CLARKE LPC

Counselor (Addiction (Substance Use Disorder))