BARBARA LYNN HEARLE APN
NPI 1417037722
Nurse Practitioner - Family in Middletown, NY

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
419 E MAIN ST, MIDDLETOWN, NY 10940(845) 342-4774 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Barbara Lynn Hearle Apn NPPES

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

BARBARA LYNN HEARLE APN (NPI 1417037722) is an individual family provider in Middletown, New York, licensed in New York (351724) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417037722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA LYNN HEARLECredential: APN
Location Address419 E MAIN STMiddletown, NY 10940-2536
Mailing Address111 Maltese DrMiddletown, NY 10940-2141 · (845) 342-4774
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1417037722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 351724
419 E MAIN ST, Middletown, NY 10940

Other Identifiers 1

Other351724NY · Nys License

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

Barbara Lynn Hearle Apn 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 ID345344099
PECOS Enrollment IDI20230501000486
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

2

Medicare enrollment records show Barbara Hearle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
111 MALTESE DR
Middletown, NY 10940
  • Reassigned Medicare billing, New York enrollment
  • 281 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 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 11

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.
275 services125 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
212 services116 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.
95 services64 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
62 services48 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
30 services28 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
25 services20 patients

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 16

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

Psychiatry & Neurology (Neurology)
419 E MAIN ST
MIDDLETOWN, NY 10940
Nurse Practitioner (Family)
419 E MAIN ST
MIDDLETOWN, NY 10940
Nurse Practitioner (Family)
419 E MAIN ST
MIDDLETOWN, NY 10940
Nurse Practitioner (Psychiatric/Mental Health)
419 E MAIN ST
MIDDLETOWN, NY 10940
Social Worker (Clinical)
419 E MAIN ST
MIDDLETOWN, NY 10940
Occupational Therapist
419 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Rheumatology)
419 E MAIN ST
MIDDLETOWN, NY 10940
Specialist
419 E MAIN ST, STE. 101
MIDDLETOWN, NY 10940

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 Barbara Hearle's NPI number?

The NPI number for Barbara Hearle is 1417037722. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Barbara Hearle located?

Barbara Hearle practices at 419 E Main St, Middletown, NY 10940. The listed phone number is (845) 342-4774.

What is Barbara Hearle's specialty?

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

Is Barbara Hearle enrolled in Medicare?

Yes. Barbara Hearle 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 Barbara Hearle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Hearle reassigns Medicare benefits to 2 organizations: Middletown Medical PC (Middletown, NY) and Advocare, LLC (Marlton, NJ). 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 Barbara Hearle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Barbara Hearle affiliated with any hospitals?

According to CMS data, Barbara Hearle is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Barbara Hearle was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.