HEATHER ABDALLA
NPI 1386179489
Nurse Practitioner - Family in Quakertown, PA

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
1534 PARK AVE, SUITE 310, QUAKERTOWN, PA 18951(484) 526-7246(484) 893-7098 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Abdalla NPPES

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

HEATHER ABDALLA (NPI 1386179489) is an individual family provider in Quakertown, Pennsylvania, licensed in Pennsylvania (SP016974) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1386179489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER ABDALLA
Location Address1534 PARK AVE, SUITE 310Quakertown, PA 18951-1084
Mailing Address1534 Park Ave, Suite 310Quakertown, PA 18951-1084 · (484) 526-7246 · Fax (484) 893-7098
Fax(484) 893-7098
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 26, 2017
NPI 1386179489 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 PA · SP016974
1534 PARK AVE, Quakertown, PA 18951

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 Abdalla 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 ID6608143078
PECOS Enrollment IDI20170607000061
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services42 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.
46 services46 patients
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.
26 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Anesthesiology (Pain Medicine)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Nurse Practitioner (Family)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Anesthesiology (Pain Medicine)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Physical Therapy Assistant
1534 PARK AVE
QUAKERTOWN, PA 18951
Physical Medicine & Rehabilitation (Pain Medicine)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Orthopaedic Surgery (Hand Surgery)
1534 PARK AVE
QUAKERTOWN, PA 18951
Speech-Language Pathologist
1534 PARK AVE
QUAKERTOWN, PA 18951
Physician Assistant
1534 PARK AVE
QUAKERTOWN, PA 18951

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 Abdalla's NPI number?

The NPI number for Heather Abdalla is 1386179489. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Heather Abdalla located?

Heather Abdalla practices at 1534 Park Ave Suite 310, Quakertown, PA 18951. The listed phone number is (484) 526-7246.

What is Heather Abdalla's specialty?

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

Is Heather Abdalla enrolled in Medicare?

Yes. Heather Abdalla 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.

Is Heather Abdalla affiliated with any hospitals?

According to CMS data, Heather Abdalla is affiliated with Penn State Health Holy Spirit Medical Center, Gettysburg Hospital, Penn State Health St. Joseph, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Abdalla was last updated on April 26, 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.