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CAROLE LEIGH HEGEDTY FNP
NPI 1326694175
Nurse Practitioner in Nicholson, PA

Active since August 16, 2019PECOS Enrolled
2631 US 11, NICHOLSON, PA 18446(570) 942-6707(570) 942-6708 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2022, Mar 8, 2021, May 19, 2020 and 1 more (4 updates tracked since 2019).

About Carole Leigh Hegedty Fnp NPPES

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

CAROLE LEIGH HEGEDTY FNP (NPI 1326694175) is an individual nurse practitioner in Nicholson, Pennsylvania, licensed in Pennsylvania (SP020520) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326694175
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLE LEIGH HEGEDTYCredential: FNP
Location Address2631 US 11Nicholson, PA 18446-0591
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 942-6707
Fax(570) 942-6708
Sole ProprietorNo
Enumeration DateAugust 16, 2019
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1326694175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP020520
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License SP020520 (PA)
2631 US 11, Nicholson, PA 18446
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Other Names 1

Former Name (1)Carole Leigh Czepiel

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carole Leigh Hegedty Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Carole Hegedty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
3.1 mi
Family Medicine
RTE 11 LACKAWANNA TRAIL
Nicholson, PA 18446
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1902858301 (570) 942-6124
Guthrie Medical Group, P.C,
11 mi
Family Medicine
5950 SR 6 STE 101
Tunkhannock, PA 18657
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1164471652 (570) 836-4294

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

Areas of Expertise CMS Part B claims 4

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.
67 services61 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.
25 services23 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.
21 services17 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18446 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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

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

MRS. JENNIFER BALINAS PA-C
Physician Assistant
2631 US 11
NICHOLSON, PA 18446
Wyoming County (570) 942-6707

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 Carole Hegedty's NPI number?

The NPI number for Carole Hegedty is 1326694175. It was assigned to this individual provider in the NPPES registry on August 16, 2019. The provider is also known as Carole Leigh Czepiel.

Where is Carole Hegedty located?

Carole Hegedty practices at 2631 Us 11, Nicholson, PA 18446. The listed phone number is (570) 942-6707.

What is Carole Hegedty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carole Hegedty enrolled in Medicare?

Yes. Carole Hegedty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carole Hegedty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Hegedty reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Nicholson, PA) and Guthrie Medical Group, P.C, (Tunkhannock, PA). Each 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 Carole Hegedty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carole Hegedty was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.