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HEATHER JAN MATTHIES
NPI 1457794646
Nurse Practitioner - Family in Georgetown, KY

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment
106 MARKET PLACE CIR, GEORGETOWN, KY 40324(502) 868-6737 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Oct 4, 2019, Jul 20, 2017 and 1 more (4 updates tracked since 2017).

About Heather Jan Matthies NPPES

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

HEATHER JAN MATTHIES (NPI 1457794646) is an individual family provider in Georgetown, Kentucky, licensed in Kentucky (3017695) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1457794646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER JAN MATTHIES
Location Address106 MARKET PLACE CIRGeorgetown, KY 40324-7400
Mailing Address106 Market Place CirGeorgetown, KY 40324-7400
Phone(502) 868-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 8, 2013
Last NPPES UpdateNovember 1, 20224 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1457794646 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 KY · 3017695
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9450003 (FL)
106 MARKET PLACE CIR, Georgetown, KY 40324
Open in Google Maps ↗

Secondary Practice Location 1

Location 16314 N 9th AvePensacola, FL 32504-7320 · Phone (850) 416-4730 · Fax (850) 416-4703

Other Identifiers 2

Medicaid019763300FL
OtherH8TG8FL · Bcbsfl

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia.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 Jan Matthies 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 ID4880834472
PECOS Enrollment IDI20250108000265
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

6

Medicare enrollment records show Heather Matthies reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ramey Estep Homes, Inc
98 mi
Multi-Specialty
2901 PIGEON ROOST RD STE B
Rush, KY 41168
  • Reassigned Medicare billing, Kentucky enrollment
  • 73 clinicians in this Medicare group
NPI 1710707765 (606) 928-6648
Ashland Hospital Corporation
107 mi
Diagnostic Radiology
2201 LEXINGTON AVE
Ashland, KY 41101
  • Reassigned Medicare billing, Ohio enrollment
  • 91 clinicians in this Medicare group
NPI 1124304852 (606) 408-4000
St. Mary's Medical Management, LLC
119 mi
Orthopaedic Surgery
2828 1ST AVE STE 400
Huntington, WV 25702
  • Reassigned Medicare billing, West Virginia enrollment
  • 160 clinicians in this Medicare group
NPI 1205596665 (304) 525-6905
Fast Pace Kentucky PLLC
151 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111
Upperline Healthcare, PC
353 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Kentucky enrollment
  • 270 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Baptist Urgent Care, LLC
552 mi
Urgent Care
5100 N 12TH AVE
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1558454132 (850) 208-6130

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 14

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

JARED TOMPKINS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (859) 317-6080
MORGAN HAMILTON GARDNER
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (859) 317-6075
KIOSK MEDICINE KENTUCKY LLC
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (502) 868-6736
MATTHEW WARREN PHARMD
Pharmacist
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (859) 317-6080
PHIL GARNER
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (859) 317-6080
APRIL L KEY MSN, FNP-BC
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (502) 868-6736
MRS. LANA I LITTLE FNP-C APRN
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (502) 868-6736
JUSTIN NEWSOME MSN, APRN, FNP-BC
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Scott County (859) 317-6075

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 Matthies's NPI number?

The NPI number for Heather Matthies is 1457794646. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Heather Matthies located?

Heather Matthies practices at 106 Market Place Cir, Georgetown, KY 40324. The listed phone number is (502) 868-6737.

What is Heather Matthies's specialty?

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

Is Heather Matthies enrolled in Medicare?

Yes. Heather Matthies 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 Matthies's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Matthies reassigns Medicare benefits to 6 organizations: Ramey Estep Homes, Inc (Rush, KY), Ashland Hospital Corporation (Ashland, KY), St. Mary's Medical Management, LLC (Huntington, WV), Fast Pace Kentucky PLLC (Franklin, KY), Upperline Healthcare, PC (Hoover, AL) and 1 more organization, listed in the Medicare section above. 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 Matthies's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Matthies accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Highmark Blue Cross Blue Shield West Virginia list Heather Matthies 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.

Is Heather Matthies affiliated with any hospitals?

According to CMS data, Heather Matthies is affiliated with St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Matthies was last updated on November 1, 2022. 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.