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HEATHER GAUGLER APRN
NPI 1306254461
Nurse Practitioner - Family in Wichita, KS

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
68.87/100
CMS Quality Rating
7701 E KELLOGG DR STE 490, WICHITA, KS 67207(316) 722-2138(833) 464-2530 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Heather Gaugler Aprn NPPES

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

HEATHER GAUGLER APRN (NPI 1306254461) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-76470-031) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1306254461
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER GAUGLERCredential: APRN
Location Address7701 E KELLOGG DR STE 490Wichita, KS 67207-1716
Mailing Address245 N Waco St Ste 220Wichita, KS 67202-1102 · (316) 722-2138 · Fax (833) 464-2530
Phone(316) 722-2138
Fax(833) 464-2530
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 31, 2014
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1306254461 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 KS · 53-76470-031
7701 E KELLOGG DR STE 490, Wichita, KS 67207
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Gaugler Aprn 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 ID1658590013
PECOS Enrollment IDI20140917000357
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 Heather Gaugler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

House Call Medical Services
5.2 mi
Primary Care
245 N WACO ST STE 220
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 15 clinicians in this Medicare group
NPI 1417276791 (316) 393-5256

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67207 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

68.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.58
Improvement Activities40
Cost29.23

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
15%27 patients1/55-star benchmark: 87%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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
5 suppliers17 claims29 services$5.42 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier65 claims65 services$41.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims21 services$14.26 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier13 claims13 services$64.41 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier57 claims113 services$1.73 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
3 suppliers40 claims41 services$74.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gaugler's NPI number?

The NPI number for Heather Gaugler is 1306254461. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Heather Gaugler located?

Heather Gaugler practices at 7701 E Kellogg Dr Ste 490, Wichita, KS 67207. The listed phone number is (316) 722-2138.

What is Heather Gaugler's specialty?

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

Is Heather Gaugler enrolled in Medicare?

Yes. Heather Gaugler 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.

Which organization bills Medicare for Heather Gaugler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gaugler reassigns Medicare benefits to House Call Medical Services (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Gaugler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Gaugler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Heather Gaugler 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.

When was this NPI record last updated?

The NPPES record for Heather Gaugler was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.