HEATHER ABDALLA
NPI 1386179489
Nurse Practitioner - Family in Quakertown, PA
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
Specialties & Licenses
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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Heather Abdalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Quakertown, PA 18951
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Hershey, PA 17033
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 clinicians in this Medicare group
Mc Connellsburg, PA 17233
- Reassigned Medicare billing, Pennsylvania enrollment
- 65 clinicians in this Medicare group
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.
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, PAPenn State Health St. Joseph
Acute Care Hospitals · Reading, PAMilton S Hershey Medical Center
Acute Care Hospitals · Hershey, PAPenn State Health Hampden Medical Center
Acute Care Hospitals · Enola, PAPenn State Health Lancaster Medical Center
Acute Care Hospitals · Lancaster, PAPhysician 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.
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.
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.
QUAKERTOWN, PA 18951
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.
Which organizations bill Medicare for Heather Abdalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Abdalla reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Quakertown, PA), The Milton S Hershey Medical Center Physicians Group (Hershey, PA) and Fulton County Medical Center (Mc Connellsburg, PA). Each 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 Abdalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Heather Abdalla affiliated with any hospitals?
According to CMS data, Heather Abdalla is affiliated with Penn State Health Holy Spirit Medical Center, Penn State Health St. Joseph, Milton S Hershey Medical Center, Penn State Health Hampden 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.
# Heather Abdalla · NPI 1386179489
Family physician in Quakertown, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 26, 2017.
## Identity
- **NPI:** 1386179489 (Entity type: Individual)
- **Enumerated:** April 26, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP016974 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1534 PARK AVE, SUITE 310, Quakertown, PA 18951-1084
- **Phone:** (484) 526-7246 · **Fax:** (484) 893-7098
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group, Inc. (NPI 1316127376, Quakertown, PA); The Milton S Hershey Medical Center Physicians Group (NPI 1205801537, Hershey, PA); Fulton County Medical Center (NPI 1326044694, Mc Connellsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 26, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1386179489) · Data from the CMS NPPES public registry.