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KATHE S. HEFNER-ERICKSON C.R.N.P.
NPI 1366626301
Nurse Practitioner - Adult Health in Newark, DE

Active since December 27, 2007PECOS EnrolledAccepts Medicare Assignment
70.73/100
CMS Quality Rating
261 CHAPMAN RD STE 100, NEWARK, DE 19702(302) 449-7484 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathe S. Hefner-erickson C.r.n.p. NPPES

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

KATHE S. HEFNER-ERICKSON C.R.N.P. (NPI 1366626301) is an individual adult health provider in Newark, Delaware, licensed in Pennsylvania (SP009675) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Langhorne, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366626301
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHE S. HEFNER-ERICKSONCredential: C.R.N.P.
Location Address261 CHAPMAN RD STE 100Newark, DE 19702-5426
Mailing Address1205 Langhorne Newtown Rd, Suite 411Langhorne, PA 19047-1219 · (215) 750-7000 · Fax (215) 750-9572
Phone(302) 449-7484
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 27, 2007
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1366626301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP009675
261 CHAPMAN RD STE 100, Newark, DE 19702
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Secondary Practice Location 1

Location 11205 Langhorne Newtown Rd, Suite 411Langhorne, PA 19047-1219 · Phone (215) 750-7000 · Fax (215) 750-9572

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Kathe S. Hefner-erickson C.r.n.p. 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 ID8820172927
PECOS Enrollment IDI20130823000089
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 5

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.
212 services140 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.
188 services161 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
65 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

70.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40
Promoting Interoperability98
Improvement Activities40
Cost64.1

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers281 claims281 services$35.96 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers109 claims109 services$82.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers103 claims279 services$31.20 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers211 claims1,162 services$16.90 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers122 claims701 services$13.58 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
13 suppliers363 claims363 services$50.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MR. LYRON ANDRE DEPUTY CNS,FNP-BC
Nurse Practitioner
261 CHAPMAN RD STE 100
NEWARK, DE 19702
New Castle County (302) 652-5109

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 Kathe Hefner-erickson's NPI number?

The NPI number for Kathe Hefner-erickson is 1366626301. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Kathe Hefner-erickson located?

Kathe Hefner-erickson practices at 261 Chapman Rd Ste 100, Newark, DE 19702. The listed phone number is (302) 449-7484.

What is Kathe Hefner-erickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathe Hefner-erickson enrolled in Medicare?

Yes. Kathe Hefner-erickson 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 Kathe Hefner-erickson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Kathe Hefner-erickson 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.

When was this NPI record last updated?

The NPPES record for Kathe Hefner-erickson was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.