HEATHER BAUM
NPI 1396269742
Nurse Practitioner in West Reading, PA
About Heather Baum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER BAUM (NPI 1396269742) is an individual nurse practitioner in West Reading, Pennsylvania, licensed in Pennsylvania (SP017907) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 Baum 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
6Medicare enrollment records show Heather Baum reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Limerick, PA 19468
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
West Grove, PA 19390
- Reassigned Medicare billing, Pennsylvania enrollment
- 106 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 176 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 2
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Baum's NPI number?
The NPI number for Heather Baum is 1396269742. It was assigned to this individual provider in the NPPES registry on July 27, 2017.
Where is Heather Baum located?
Heather Baum practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-5455.
What is Heather Baum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Heather Baum enrolled in Medicare?
Yes. Heather Baum 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 Baum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Baum reassigns Medicare benefits to 6 organizations: Tower Health Medical Group (West Reading, PA), Reading Hospital (West Reading, PA), Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), West Grove Clinic Company LLC (West Grove, PA) and 1 more organization, listed in the Medicare section above. 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 Baum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Baum accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather Baum 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 Baum affiliated with any hospitals?
According to CMS data, Heather Baum is affiliated with Reading Hospital.
When was this NPI record last updated?
The NPPES record for Heather Baum was last updated on September 27, 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 Baum · NPI 1396269742
Nurse Practitioner physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 27, 2017.
## Identity
- **NPI:** 1396269742 (Entity type: Individual)
- **Enumerated:** July 27, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP017907 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-5455
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1205180726, West Reading, PA); Reading Hospital (NPI 1780913145, West Reading, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA); Phoenixville Clinic Company LLC (NPI 1790746345, Limerick, PA); West Grove Clinic Company LLC (NPI 1093355992, West Grove, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1396269742) · Data from the CMS NPPES public registry.