Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEATHER CERASALE APRN, FNP
NPI 1407367113
Nurse Practitioner - Family in Plainville, CT

Active since October 20, 2017PECOS Enrolled
201 N MOUNTAIN RD STE 203, PLAINVILLE, CT 06062(860) 827-4199 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 23, 2024, Oct 20, 2017 (2 updates tracked since 2017).

About Heather Cerasale Aprn, Fnp NPPES

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

HEATHER CERASALE APRN, FNP (NPI 1407367113) is an individual family provider in Plainville, Connecticut, licensed in Connecticut (7300) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407367113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER CERASALECredential: APRN, FNP
Location Address201 N MOUNTAIN RD STE 203Plainville, CT 06062-1848
Mailing AddressPo Box 415126Boston, MA 02241-5126 · (203) 479-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 20, 2017
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1407367113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 7300
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 106340 (CT)
201 N MOUNTAIN RD STE 203, Plainville, CT 06062

Secondary Practice Locations 2

Location 164 Robbins StWaterbury, CT 06708-2613 · Phone (203) 573-6181
Location 24A Devine StNorth Haven, CT 06473-2142 · Phone (203) 287-6900

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 Cerasale Aprn, Fnp 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 ID5496013237
PECOS Enrollment IDI20171227001703
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Cerasale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
64 ROBBINS ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 152 clinicians in this Medicare group
Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
Geriatric Medicine
874 HOWARD AVE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
201 N MOUNTAIN RD STE 203
PLAINVILLE, CT 06062
Family Medicine
201 N MOUNTAIN RD STE 203
PLAINVILLE, CT 06062
Nurse Practitioner (Primary Care)
201 N MOUNTAIN RD STE 203
PLAINVILLE, CT 06062

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 Cerasale's NPI number?

The NPI number for Heather Cerasale is 1407367113. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Heather Cerasale located?

Heather Cerasale practices at 201 N Mountain Rd Ste 203, Plainville, CT 06062. The listed phone number is (860) 827-4199.

What is Heather Cerasale's specialty?

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

Is Heather Cerasale enrolled in Medicare?

Yes. Heather Cerasale 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 Cerasale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Cerasale reassigns Medicare benefits to 3 organizations: Uconn Health Community Network Medical Group, Inc. (Waterbury, CT), Prospect Ct Medical Foundation, Inc. (Manchester, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). 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 Cerasale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Cerasale accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather Cerasale 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 Heather Cerasale was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.