HEATHER BENNETT NP-C
NPI 1386102523
Nurse Practitioner - Family in Wausau, WI

Active since March 06, 2019PECOS EnrolledAccepts Medicare Assignment
98.65/100
CMS Quality Rating
2727 PLAZA DR, WAUSAU, WI 54401(715) 847-3166 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 14, 2021, Mar 6, 2019 (2 updates tracked since 2019).

About Heather Bennett Np-c NPPES

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

HEATHER BENNETT NP-C (NPI 1386102523) is an individual family provider in Wausau, Wisconsin, licensed in Wisconsin (15768) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Iron River.

NPPES Registry Identity

NPI1386102523
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER BENNETTCredential: NP-C
Location Address2727 PLAZA DRWausau, WI 54401-4192
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 6, 2019
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1386102523 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 WI · 15768 Licensed in MI · 4704294737
2727 PLAZA DR, Wausau, WI 54401

Secondary Practice Location 1

Location 11500 W Ice Lake RdIron River, MI 49935-8509 · Phone (906) 265-5378

Accepted 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 Bennett Np-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 ID6406198423
PECOS Enrollment IDI20241015003507
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.

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.
34 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

98.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers17 claims20 services$5.58 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 20

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

Nurse Practitioner (Adult Health)
2727 PLAZA DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
2727 PLAZA DR
WAUSAU, WI 54401
Physical Medicine & Rehabilitation
2727 PLAZA DR
WAUSAU, WI 54401
Physician Assistant
2727 PLAZA DR
WAUSAU, WI 54401
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Internal Medicine (Rheumatology)
2727 PLAZA DR
WAUSAU, WI 54401
Radiology (Diagnostic Radiology)
2727 PLAZA DR
WAUSAU, WI 54401
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401

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 Bennett's NPI number?

The NPI number for Heather Bennett is 1386102523. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Heather Bennett located?

Heather Bennett practices at 2727 Plaza Dr, Wausau, WI 54401. The listed phone number is (715) 847-3166.

What is Heather Bennett's specialty?

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

Is Heather Bennett enrolled in Medicare?

Yes. Heather Bennett 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 Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Heather Bennett 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 Bennett affiliated with any hospitals?

According to CMS data, Heather Bennett is affiliated with Marshfield Medical Center and Marshfield Medical Center - Weston.

When was this NPI record last updated?

The NPPES record for Heather Bennett was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.