HEATHER MARKS
NPI 1366896342
Nurse Practitioner - Family in Meyersdale, PA

Q: What is Heather Marks's NPI number?

The NPI number for Heather Marks is 1366896342. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Heather Marks'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 Marks was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 15, 2016PECOS EnrolledAccepts Medicare Assignment

7160 MASON DIXON HWY, MEYERSDALE, PA 15552(814) 634-5935(814) 634-9140 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2017, Dec 31, 2016, Aug 22, 2016 (3 updates tracked since 2016).

On this page

About Heather Marks NPPES

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

HEATHER MARKS (NPI 1366896342) is an individual family provider in Meyersdale, Pennsylvania, licensed in Pennsylvania (SP017112) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366896342

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER MARKS

Location Address7160 MASON DIXON HWYMeyersdale, PA 15552-7288

Mailing Address200 Hospital DrMeyersdale, PA 15552-1249 · (814) 634-5935 · Fax (814) 634-9140

Phone(814) 634-5935

Fax(814) 634-9140

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 15, 2016

Last NPPES UpdateFebruary 7, 20173 updates tracked since enumeration

✔ NPI 1366896342 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

Licenses✔ Licensed in PA · SP017112✔ Licensed in MD · R201525

7160 MASON DIXON HWY, Meyersdale, PA 15552

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Marks 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 ID4284907965

PECOS Enrollment IDI20170831000168

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.

Hospital Affiliations CMS Care Compare 4

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

Upmc Somerset

Acute Care Hospitals · Somerset, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390039

Location225 South Center AvenueSomerset, PA 15501 · Somerset County

Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Conemaugh Meyersdale Medical Center

Critical Access Hospitals · Meyersdale, PA

OwnershipProprietary

CMS Certification Number391302

Location200 Hospital DriveMeyersdale, PA 15552 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15552 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers44 claims66 services$4.31 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers12 claims56 services$2.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers23 claims23 services$20.33 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier14 claims14 services$18.83 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.37 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier14 claims14 services$55.83 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 3

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

OPHTHALMIC ASSOCIATES

Ophthalmology

7160 MASON DIXON HWY
MEYERSDALE, PA 15552

Somerset County (814) 972-6678

AMY LYNN WALKER APRN, FNP-C

Nurse Practitioner (Family)

7160 MASON DIXON HWY
MEYERSDALE, PA 15552

Somerset County (817) 634-5935

VISION INNOVATION CENTERS OF PENNSYLVANIA LLC

Technician/Technologist (Optician)

7160 MASON DIXON HWY
MEYERSDALE, PA 15552

Somerset County (814) 972-6678

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 Marks's NPI number?

The NPI number for Heather Marks is 1366896342. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Heather Marks located?

Heather Marks practices at 7160 Mason Dixon Hwy, Meyersdale, PA 15552. The listed phone number is (814) 634-5935.

What is Heather Marks's specialty?

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

Is Heather Marks enrolled in Medicare?

Yes. Heather Marks 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 Marks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather Marks 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 Marks affiliated with any hospitals?

According to CMS data, Heather Marks is affiliated with Western Maryland Regional Medical Center, Upmc Somerset, Conemaugh Memorial Medical Center and Conemaugh Meyersdale Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Marks was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.