HEATHER DOLLY GAVIN CRNP
NPI 1356981195
Nurse Practitioner - Family in Wilkes Barre, PA

Q: 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.

Q: What is Heather Gavin's specialty?

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

Q: 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.

Active since January 09, 2020PECOS EnrolledAccepts Medicare Assignment

92.67/100

CMS Quality Rating

335 S FRANKLIN ST, WILKES BARRE, PA 18702(570) 591-5283(570) 230-0013 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 15, 2024, Dec 23, 2020, Jan 9, 2020 (3 updates tracked since 2020).

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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

NPI1356981195

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER DOLLY GAVINCredential: CRNP

Location Address335 S FRANKLIN STWilkes Barre, PA 18702-3808

Mailing Address335 S Franklin StWilkes Barre, PA 18702-3808 · (705) 301-0924 · Fax (570) 505-6224

Phone(570) 591-5283

Fax(570) 230-0013

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 9, 2020

Last NPPES UpdateMay 15, 20243 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1356981195 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 PA · SP021357

335 S FRANKLIN ST, Wilkes Barre, PA 18702

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Secondary Practice Location 1

Location 117 E Ann StPlains, PA 18705-1001 · Phone (570) 931-0809

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 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.

PECOS PAC ID2567899099

PECOS Enrollment IDI20200224001010

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

175 services164 patients

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, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician 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.

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.

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.

92.67/100

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

Scored as part of a group practice

Quality

89.18

Improvement Activities

Cost

60.73

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.

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