HEATHER ELYSIA PFAHLERT P.A.
NPI 1316992092
Physician Assistant in Edenton, NC

Q: What is Heather Pfahlert's NPI number?

The NPI number for Heather Pfahlert is 1316992092. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Heather Elysia Rush PA.

Q: What is Heather Pfahlert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Pfahlert was last updated on March 29, 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 May 23, 2006PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

701 LUKE ST, EDENTON, NC 27932(252) 482-6811 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Sep 4, 2019 (2 updates tracked since 2019).

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About Heather Elysia Pfahlert P.a. NPPES

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

HEATHER ELYSIA PFAHLERT P.A. (NPI 1316992092) is an individual physician assistant in Edenton, North Carolina, licensed in Colorado (PA.0003546) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Vidant Chowan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316992092

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHEATHER ELYSIA PFAHLERTCredential: P.A.

Location Address701 LUKE STEdenton, NC 27932-9643

Mailing Address701 Luke StEdenton, NC 27932-9643 · (252) 482-6811

Phone(252) 482-6811

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 23, 2006

Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1316992092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CO · PA.0003546✔ Licensed in AZ · 2613

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

701 LUKE ST, Edenton, NC 27932

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Other Names 1

Former Name (1)Heather Elysia Rush Pa

Secondary Practice Locations 2

Location 13027 N Circle DrColorado Springs, CO 80909-1179 · Phone (719) 776-3216 · Fax (719) 776-3220

Location 22767 Janitell RdColorado Springs, CO 80906-4102 · Phone (719) 365-2888 · Fax (719) 365-1577

Other Identifiers 1

Medicaid691023-03AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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 Elysia Pfahlert P.a. 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 ID6103801568

PECOS Enrollment IDI20220104002867

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 14

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.

403 services275 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

96 services93 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

93 services93 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

75 services69 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

64 services56 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

56 services48 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.

53 services49 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

52 services52 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

42 services41 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

21 services21 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

13 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number341318

Location211 Virginia RdEdenton, NC 27932 · Chowan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$8.88 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 5

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

SENTARA MEDICAL GROUP

Family Medicine

701 LUKE ST, STE D
EDENTON, NC 27932

Chowan County (252) 337-9170

CHOWAN FAMILY MEDICINE, PA

Family Medicine

701 LUKE ST, SUITE D
EDENTON, NC 27932

Chowan County (252) 482-6522

COASTAL ALBEMARLE ORTHOPEDICS PA

Specialist

701 LUKE ST
EDENTON, NC 27932

Chowan County (252) 482-5011

FRANCIS MICHAEL MCCARTHY M.D.

Orthopaedic Surgery

701 LUKE ST, SUITE C
EDENTON, NC 27932

Chowan County (252) 482-5011

DR. JOHN CHRISTOPHER PERRY M.D.

Family Medicine

701 LUKE ST, STE D
EDENTON, NC 27932

Chowan County (252) 482-6522

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 Pfahlert's NPI number?

The NPI number for Heather Pfahlert is 1316992092. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Heather Elysia Rush PA.

Where is Heather Pfahlert located?

Heather Pfahlert practices at 701 Luke St, Edenton, NC 27932. The listed phone number is (252) 482-6811.

What is Heather Pfahlert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Pfahlert enrolled in Medicare?

Yes. Heather Pfahlert 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.

What insurance does Heather Pfahlert accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Heather Pfahlert 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.

Is Heather Pfahlert affiliated with any hospitals?

According to CMS data, Heather Pfahlert is affiliated with Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Heather Pfahlert was last updated on March 29, 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.