HEATHER DOLLY GAVIN CRNP
NPI 1356981195
Nurse Practitioner - Family in Wilkes Barre, PA
About Heather Dolly Gavin Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER DOLLY GAVIN CRNP (NPI 1356981195) is an individual family provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP021357) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Plains.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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 Dolly Gavin Crnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Heather Gavin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18702
- Reassigned Medicare billing, Pennsylvania enrollment
- 53 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 clinicians in this Medicare group
Honesdale, PA 18431
- Reassigned Medicare billing, Pennsylvania enrollment
- 34 clinicians in this Medicare group
Hanover, MD 21076
- Reassigned Medicare billing, Pennsylvania enrollment
- 41 clinicians in this Medicare group
Uniontown, PA 15401
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Ars Treatment Centers PC
- 140 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilkes-Barre General Hospital
Acute Care Hospitals · Wilkes-Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WILKES BARRE, PA 18702
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 Gavin's NPI number?
The NPI number for Heather Gavin is 1356981195. It was assigned to this individual provider in the NPPES registry on January 9, 2020.
Where is Heather Gavin located?
Heather Gavin practices at 335 S Franklin St, Wilkes Barre, PA 18702. The listed phone number is (570) 591-5283.
What is Heather Gavin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heather Gavin enrolled in Medicare?
Yes. Heather Gavin 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 organizations bill Medicare for Heather Gavin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gavin reassigns Medicare benefits to 5 organizations: Children's Service Center Of Wyoming Valley, Inc (Wilkes Barre, PA), Pennsylvania Hospitalist Group, LLC (Wilkes Barre, PA), Adfinitas Health Palliative Services, LLC (Honesdale, PA), Advanced Inpatient Medicine Lehigh PC (Hanover, MD) and Ars Treatment Centers, P.C. (Uniontown, 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 Heather Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Gavin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather Gavin 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 Gavin affiliated with any hospitals?
According to CMS data, Heather Gavin is affiliated with Wilkes-Barre General Hospital.
When was this NPI record last updated?
The NPPES record for Heather Gavin was last updated on May 15, 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.
# Heather Dolly Gavin, CRNP · NPI 1356981195
Family physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 9, 2020.
## Identity
- **NPI:** 1356981195 (Entity type: Individual)
- **Enumerated:** January 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP021357 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 335 S FRANKLIN ST, Wilkes Barre, PA 18702-3808
- **Phone:** (570) 591-5283 · **Fax:** (570) 230-0013
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Children's Service Center Of Wyoming Valley, Inc (NPI 1700861242, Wilkes Barre, PA); Pennsylvania Hospitalist Group, LLC (NPI 1558126342, Wilkes Barre, PA); Adfinitas Health Palliative Services, LLC (NPI 1710734785, Honesdale, PA); Advanced Inpatient Medicine Lehigh PC (NPI 1437537875, Hanover, MD); Ars Treatment Centers, P.C. (NPI 1346731171, Uniontown, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356981195) · Data from the CMS NPPES public registry.