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ERIN HEREDIA DNP, FNP-C
NPI 1396526612
Pediatrics - Pediatric Gastroenterology in Middleton, WI

Active since October 12, 2023PECOS Enrolled
2275 DEMING WAY STE 220, MIDDLETON, WI 53562(608) 890-9400 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Oct 12, 2023 (2 updates tracked since 2023).

About Erin Heredia Dnp, Fnp-c NPPES

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

ERIN HEREDIA DNP, FNP-C (NPI 1396526612) is an individual pediatric gastroenterology provider in Middleton, Wisconsin, licensed in Wisconsin (14108) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396526612
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameERIN HEREDIACredential: DNP, FNP-C
Location Address2275 DEMING WAY STE 220Middleton, WI 53562-5527
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 890-9400
Sole ProprietorNo
Enumeration DateOctober 12, 2023
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1396526612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WI · 14108
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 14108 (WI)
2275 DEMING WAY STE 220, Middleton, WI 53562
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Heredia Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53562 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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 Erin Heredia's NPI number?

The NPI number for Erin Heredia is 1396526612. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Erin Heredia located?

Erin Heredia practices at 2275 Deming Way Ste 220, Middleton, WI 53562. The listed phone number is (608) 890-9400.

What is Erin Heredia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Erin Heredia enrolled in Medicare?

Yes. Erin Heredia is registered in the Medicare PECOS enrollment system.

What insurance does Erin Heredia accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Erin Heredia 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.

When was this NPI record last updated?

The NPPES record for Erin Heredia was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.