MONICA HEHIR CPNP-PC
NPI 1497205041
Nurse Practitioner - Pediatrics in Springfield, PA
About Monica Hehir Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONICA HEHIR CPNP-PC (NPI 1497205041) is an individual pediatrics provider in Springfield, Pennsylvania, licensed in Pennsylvania (SP017525) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Monica Hehir Cpnp-pc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Monica Hehir reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, PA 19064
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Monica Hehir's NPI number?
The NPI number for Monica Hehir is 1497205041. It was assigned to this individual provider in the NPPES registry on October 6, 2016.
Where is Monica Hehir located?
Monica Hehir practices at 190 W Sproul Rd Ste 208, Springfield, PA 19064. The listed phone number is (610) 338-1816.
What is Monica Hehir's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Monica Hehir enrolled in Medicare?
Yes. Monica Hehir 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 Monica Hehir's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Hehir reassigns Medicare benefits to 2 organizations: Prospect Health Access Network, Inc. (Springfield, PA) and University Of Virginia Physicians Group (Charlottesville, VA). 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 Monica Hehir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Hehir accept?
Health plans from Oscar Health list Monica Hehir 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 Monica Hehir was last updated on August 10, 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.
# Monica Hehir, CPNP-PC · NPI 1497205041
Pediatrics physician in Springfield, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 6, 2016.
## Identity
- **NPI:** 1497205041 (Entity type: Individual)
- **Enumerated:** October 6, 2016
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP017525 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 W SPROUL RD STE 208, Springfield, PA 19064-2027
- **Phone:** (610) 338-1816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prospect Health Access Network, Inc. (NPI 1871948414, Springfield, PA); University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497205041) · Data from the CMS NPPES public registry.