MR. LONNIE L HEETER CRNP
NPI 1407812167
Nurse Practitioner in Warren, PA

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
103 W SAINT CLAIR ST, WARREN, PA 16365(814) 723-1212(814) 723-3466 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2020, May 7, 2018, Aug 15, 2017 (3 updates tracked since 2017).

About Mr. Lonnie L Heeter Crnp NPPES

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

MR. LONNIE L HEETER CRNP (NPI 1407812167) is an individual nurse practitioner in Warren, Pennsylvania, licensed in Pennsylvania (TP005151B) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Warren General Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1407812167
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. LONNIE L HEETERCredential: CRNP
Location Address103 W SAINT CLAIR STWarren, PA 16365-2197
Mailing Address2 W Crescent ParkWarren, PA 16365-2111 · (814) 723-3300 · Fax (814) 723-8952
Fax(814) 723-3466
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 21, 2006
Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
NPI 1407812167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · TP005151B
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License TP005151B (PA)
103 W SAINT CLAIR ST, Warren, PA 16365

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

Mr. Lonnie L Heeter Crnp 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 ID9830134238
PECOS Enrollment IDI20050627000462
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 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.
209 services133 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
190 services163 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
27 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Warren General Hospital

Acute Care Hospitals · Warren, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390146
LocationTwo Crescent Park WestWarren, PA 16365 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
94%2,254 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
24%2,074 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$20.40 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
103 W SAINT CLAIR ST, SUITE 1D
WARREN, PA 16365
Optometrist
103 W SAINT CLAIR ST
WARREN, PA 16365
Ophthalmology
103 W SAINT CLAIR ST
WARREN, PA 16365
Ophthalmology
103 W SAINT CLAIR ST
WARREN, PA 16365
Surgery
103 W SAINT CLAIR ST, RM 2D
WARREN, PA 16365
Internal Medicine
103 W SAINT CLAIR ST, INTERNAL MEDICINE, WARREN MEDICAL GROUP
WARREN, PA 16365
Surgery
103 W SAINT CLAIR ST, SUITE 2D
WARREN, PA 16365
Orthopaedic Surgery
103 W SAINT CLAIR ST
WARREN, PA 16365

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 Lonnie Heeter's NPI number?

The NPI number for Lonnie Heeter is 1407812167. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Lonnie Heeter located?

Lonnie Heeter practices at 103 W Saint Clair St, Warren, PA 16365. The listed phone number is (814) 723-1212.

What is Lonnie Heeter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lonnie Heeter enrolled in Medicare?

Yes. Lonnie Heeter 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 Lonnie Heeter affiliated with any hospitals?

According to CMS data, Lonnie Heeter is affiliated with Warren General Hospital.

When was this NPI record last updated?

The NPPES record for Lonnie Heeter was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.