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HEATHER HENSARLING APRN, FNP-C
NPI 1366176695
Nurse Practitioner - Family in Lufkin, TX

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
1105 W FRANK AVE STE 200, LUFKIN, TX 75904(936) 631-6725 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2022, Oct 12, 2022, Jul 12, 2022 (3 updates tracked since 2022).

About Heather Hensarling Aprn, Fnp-c NPPES

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

HEATHER HENSARLING APRN, FNP-C (NPI 1366176695) is an individual family provider in Lufkin, Texas, licensed in Texas (1087440) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Woodland Heights Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1366176695
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER HENSARLINGCredential: APRN, FNP-C
Location Address1105 W FRANK AVE STE 200Lufkin, TX 75904-3395
Mailing Address1105 W Frank Ave Ste 200Lufkin, TX 75904-3395 · (936) 631-6725
Phone(936) 631-6725
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 12, 2022
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1366176695 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 TX · 1087440
1105 W FRANK AVE STE 200, Lufkin, TX 75904
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Hensarling Aprn, Fnp-c 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 ID8921478082
PECOS Enrollment IDI20230105002201
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients
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.
16 services14 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

DR. RACHAEL ELIZABETH SULLIVAN D.O.
Obstetrics & Gynecology
1105 W FRANK AVE STE 200
LUFKIN, TX 75904
Angelina County (936) 631-6771
MRS. LAUREN HUDSON MANLEY FNP-C
Nurse Practitioner (Family)
1105 W FRANK AVE STE 200
LUFKIN, TX 75904
Angelina County (936) 631-6771
SHELBY LYNN SHELTON CNM
Midwife
1105 W FRANK AVE STE 200
LUFKIN, TX 75904
Angelina County (936) 631-6771

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 Hensarling's NPI number?

The NPI number for Heather Hensarling is 1366176695. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Heather Hensarling located?

Heather Hensarling practices at 1105 W Frank Ave Ste 200, Lufkin, TX 75904. The listed phone number is (936) 631-6725.

What is Heather Hensarling's specialty?

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

Is Heather Hensarling enrolled in Medicare?

Yes. Heather Hensarling 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 Hensarling accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Heather Hensarling 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 Hensarling affiliated with any hospitals?

According to CMS data, Heather Hensarling is affiliated with Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Hensarling was last updated on December 8, 2022. 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.