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

Q: 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.

Q: What is Heather Wilson's specialty?

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

Q: 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 9 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.

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: October 25, 2026.

On this page

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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Affiliates Of Cape Cod, Inc.

127 mi

Internal Medicine

27 PARK ST, GLEASON HOUSE
Hyannis, MA 02601

Reassigned Medicare billing, Massachusetts enrollment
423 clinicians in this Medicare group

NPI 1770534927 (508) 862-5040

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 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

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

51 services50 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

40 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

34 services34 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

28 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

28 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services26 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

23 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

16 services16 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

15 services15 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

14 services13 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Quality

63.36

Promoting Interoperability

100

Improvement Activities

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 11

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

AILEY A DRISCOLL

Student in an Organized Health Care Education/Training Program

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5420

LINA M ARANGO-MARTINEZ

Nurse Practitioner

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 841-9084

JENNIFER A SEARFOSS APRN

Nurse Practitioner (Adult Health)

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5270

KATTHY NGUYEN PA-C

Physician Assistant

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5216

MRS. ELIZABETH LOUISE COCOLA APRN

Nurse Practitioner (Family)

1678 ASYLUM AVE, SAINT JOSEPH COLLEGE HEALTH SERVICES
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5530

CARA PELLETIER FNP-C

Nurse Practitioner (Family)

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5539

CAITLYN KYRIACOU PA-C

Physician Assistant

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5420

STEPHANIE ANN QUINN M.S., A.T.C

Specialist/Technologist (Athletic Trainer)

1678 ASYLUM AVE
WEST HARTFORD, CT 06117

Capitol Planning Region (860) 231-5424

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.

Which organization bills Medicare for Heather Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Wilson reassigns Medicare benefits to Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA). The 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

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 9 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.