CAROLYN HEINS
NPI 1447604202
Family Medicine in Albany, NY

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
391 MYRTLE AVE STE 4A, ALBANY, NY 12208(518) 207-2273(518) 207-2293 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2021, Jun 30, 2020, Jun 26, 2020 and 1 more (4 updates tracked since 2019).

About Carolyn Heins NPPES

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

CAROLYN HEINS (NPI 1447604202) is an individual family medicine provider in Albany, New York, licensed in New York (299061) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1447604202
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROLYN HEINS
Location Address391 MYRTLE AVE STE 4AAlbany, NY 12208-3797
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Fax(518) 207-2293
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateMay 27, 20214 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1447604202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 299061
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 299061 (NY)
391 MYRTLE AVE STE 4A, Albany, NY 12208

Other Names 1

Former Name (1)Carolyn Ellsworth

Secondary Practice Locations 3

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550
Location 2600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221
Location 32215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300

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

Carolyn Heins 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 ID2163757568
PECOS Enrollment IDI20210617000196
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 Carolyn Heins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

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
Federally Qualified Health Center (FQHC)
82 GEORGE ST
Bridgeport, CT 06604
  • Reassigned Medicare billing, Connecticut enrollment
  • 132 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

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 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.
69 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Physician Assistant
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Nurse Practitioner (Family)
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Student in an Organized Health Care Education/Training Program
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Family Medicine
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Nurse Practitioner (Family)
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Physician Assistant
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Family Medicine
391 MYRTLE AVE STE 4A
ALBANY, NY 12208
Nurse Practitioner (Family)
391 MYRTLE AVE STE 4A
ALBANY, NY 12208

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 Carolyn Heins's NPI number?

The NPI number for Carolyn Heins is 1447604202. It was assigned to this individual provider in the NPPES registry on April 19, 2016. The provider is also known as Carolyn Ellsworth.

Where is Carolyn Heins located?

Carolyn Heins practices at 391 Myrtle Ave Ste 4A, Albany, NY 12208. The listed phone number is (518) 207-2273.

What is Carolyn Heins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carolyn Heins enrolled in Medicare?

Yes. Carolyn Heins 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 Carolyn Heins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Heins reassigns Medicare benefits to 2 organizations: Mill Hill Medical Consultants Inc (New Haven, CT) and Optimus Health Care Inc (Bridgeport, 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 Carolyn Heins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Heins accept?

Health plans from Anthem Blue Cross and Blue Shield list Carolyn Heins 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 Carolyn Heins was last updated on May 27, 2021. 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.