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HEATHER LAMPRON
NPI 1487005112
Nurse Practitioner in Temple, PA

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
4301 5TH STREET HWY, STE 100, TEMPLE, PA 19560(610) 208-8800(610) 898-1336 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 21, 2021, Jan 26, 2021, Jun 23, 2016 (3 updates tracked since 2016).

About Heather Lampron NPPES

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

HEATHER LAMPRON (NPI 1487005112) is an individual nurse practitioner in Temple, Pennsylvania, licensed in Pennsylvania (SP016034) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487005112
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER LAMPRON
Location Address4301 5TH STREET HWY, STE 100Temple, PA 19560-1739
Mailing Address4301 5th Street Hwy, Ste 100Temple, PA 19560-1739 · (610) 208-8800 · Fax (610) 898-1336
Phone(610) 208-8800
Fax(610) 898-1336
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2016
Last NPPES UpdateApril 21, 20213 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1487005112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP016034
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.
4301 5TH STREET HWY, Temple, PA 19560
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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 Lampron 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 ID5597059824
PECOS Enrollment IDI20160810000719
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 Heather Lampron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Inpatient Medicine Transitional Care - Ltcaco LLC
58 mi
Internal Medicine
80 E NORTHAMPTON ST
Wilkes Barre, PA 18701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 28 clinicians in this Medicare group
NPI 1427944859 (570) 826-1031
Advanced Inpatient Medicine Transitional Care PC
59 mi
Internal Medicine
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 32 clinicians in this Medicare group
NPI 1609247030 (570) 552-4450

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
321 services72 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
241 services81 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
58 services32 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
34 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19560 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
20%139 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
39%28 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 24 patients
96%28 patients
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.

Other Providers at the Same Location NPPES

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

VICTORIA G STELLA MD
Family Medicine
4301 5TH STREET HWY
TEMPLE, PA 19560
Berks County (610) 208-8800

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 Lampron's NPI number?

The NPI number for Heather Lampron is 1487005112. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Heather Lampron located?

Heather Lampron practices at 4301 5th Street Hwy Ste 100, Temple, PA 19560. The listed phone number is (610) 208-8800.

What is Heather Lampron's specialty?

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

Is Heather Lampron enrolled in Medicare?

Yes. Heather Lampron 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 Lampron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Lampron reassigns Medicare benefits to 2 organizations: Advanced Inpatient Medicine Transitional Care - Ltcaco LLC (Wilkes Barre, PA) and Advanced Inpatient Medicine Transitional Care PC (Wilkes Barre, PA). 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 Lampron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heather Lampron affiliated with any hospitals?

According to CMS data, Heather Lampron is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Heather Lampron was last updated on April 21, 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.