MRS. HEATHER MARIE WILSON APRN, MA
NPI 1497264709
Nurse Practitioner - Primary Care in West Hartford, CT

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1678 ASYLUM AVE, WEST HARTFORD, CT 06117(860) 232-4571 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Heather Marie Wilson Aprn, Ma NPPES

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

MRS. HEATHER MARIE WILSON APRN, MA (NPI 1497264709) is an individual primary care provider in West Hartford, Connecticut, licensed in Massachusetts (RN2317187) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1497264709
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. HEATHER MARIE WILSONCredential: APRN, MA
Location Address1678 ASYLUM AVEWest Hartford, CT 06117-2764
Mailing Address1678 Asylum AveWest Hartford, CT 06117-2764 · (860) 232-4571
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 29, 2017
NPI 1497264709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MA · RN2317187
1678 ASYLUM AVE, West Hartford, CT 06117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Heather Marie Wilson Aprn, Ma 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 ID2264788850
PECOS Enrollment IDI20180712001462
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.

Areas of Expertise CMS Part B claims 18

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.
505 services352 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.
291 services231 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
195 services195 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
78 services78 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
78 services78 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
76 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06117 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.36
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%136 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$40.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Student in an Organized Health Care Education/Training Program
1678 ASYLUM AVE
WEST HARTFORD, CT 06117
Nurse Practitioner
1678 ASYLUM AVE
WEST HARTFORD, CT 06117
Nurse Practitioner (Adult Health)
1678 ASYLUM AVE
WEST HARTFORD, CT 06117
Physician Assistant
1678 ASYLUM AVE
WEST HARTFORD, CT 06117
Physician Assistant
1678 ASYLUM AVE
WEST HARTFORD, CT 06117
Nurse Practitioner (Family)
1678 ASYLUM AVE, SAINT JOSEPH COLLEGE HEALTH SERVICES
WEST HARTFORD, CT 06117
Nurse Practitioner (Family)
1678 ASYLUM AVE
WEST HARTFORD, CT 06117
Specialist/Technologist (Athletic Trainer)
1678 ASYLUM AVE
WEST HARTFORD, CT 06117

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 Wilson's NPI number?

The NPI number for Heather Wilson is 1497264709. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Heather Wilson located?

Heather Wilson practices at 1678 Asylum Ave, West Hartford, CT 06117. The listed phone number is (860) 232-4571.

What is Heather Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Heather Wilson enrolled in Medicare?

Yes. Heather Wilson 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.

What insurance does Heather Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather Wilson 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 Wilson affiliated with any hospitals?

According to CMS data, Heather Wilson is affiliated with Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Heather Wilson was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.