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HEATHER LEE ALLEN APRN
NPI 1366196602
Nurse Practitioner - Family in Raleigh, NC

Active since February 07, 2022PECOS EnrolledAccepts Medicare Assignment
64.46/100
CMS Quality Rating
8300 HEALTH PARK STE 309, RALEIGH, NC 27615(984) 272-4028(984) 272-3917 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2024, Sep 28, 2022, Feb 7, 2022 (3 updates tracked since 2022).

About Heather Lee Allen Aprn NPPES

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

HEATHER LEE ALLEN APRN (NPI 1366196602) is an individual family provider in Raleigh, North Carolina, licensed in Florida (APRN11009202) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366196602
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER LEE ALLENCredential: APRN
Location Address8300 HEALTH PARK STE 309Raleigh, NC 27615-4731
Mailing Address8300 Health Park Ste 309Raleigh, NC 27615-4731 · (984) 272-4028 · Fax (984) 272-3917
Phone(984) 272-4028
Fax(984) 272-3917
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 7, 2022
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1366196602 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 FL · APRN11009202
8300 HEALTH PARK STE 309, Raleigh, NC 27615
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11100 Plantation Island Dr S Ste 220Saint Augustine, FL 32080-5174 · Phone (904) 223-3321 · Fax (904) 223-2169
Location 25191 First Coast Tech Pkwy, 3rd FloorJacksonville, FL 32224-0609 · Phone (904) 223-3321 · Fax (904) 223-2169

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.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 Lee Allen Aprn 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 ID1254724404
PECOS Enrollment IDI20230803004612
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 Reassignment

Medicare enrollment records show Heather Allen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carolina Anesthesia Associates, PLLC
73 mi
Anesthesiology
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,097 clinicians in this Medicare group
NPI 1205996519 (252) 847-4100

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 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.
304 services126 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
96 services86 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
78 services70 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients

Hospital Affiliations CMS Care Compare

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

64.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.37
Improvement Activities40
Cost68.87

Other Providers at the Same Location NPPES

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

DR. THOMAS J WEBER JR. DO
Anesthesiology
8300 HEALTH PARK STE 309
RALEIGH, NC 27615
Wake County (984) 272-4028

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 Allen's NPI number?

The NPI number for Heather Allen is 1366196602. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Heather Allen located?

Heather Allen practices at 8300 Health Park Ste 309, Raleigh, NC 27615. The listed phone number is (984) 272-4028.

What is Heather Allen's specialty?

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

Is Heather Allen enrolled in Medicare?

Yes. Heather Allen 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 organization bills Medicare for Heather Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Allen reassigns Medicare benefits to East Carolina Anesthesia Associates, PLLC (Greenville, NC). The 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 Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Allen accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Heather Allen 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 Allen affiliated with any hospitals?

According to CMS data, Heather Allen is affiliated with Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Allen was last updated on September 26, 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.