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HEATHER K. M. CRITES FNP-C
NPI 1497314231
Nurse Practitioner - Family in Lexington, IN

Active since June 06, 2019PECOS Enrolled
422 N NAPPER RD, LEXINGTON, IN 47138(812) 889-2196 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather K. M. Crites Fnp-c NPPES

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

HEATHER K. M. CRITES FNP-C (NPI 1497314231) is an individual family provider in Lexington, Indiana, licensed in Indiana (28159381A) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497314231
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER K. M. CRITESCredential: FNP-C
Location Address422 N NAPPER RDLexington, IN 47138-8880
Mailing Address422 N Napper RdLexington, IN 47138-8880 · (812) 889-2196
Phone(812) 889-2196
Sole ProprietorNo
Enumeration DateJune 6, 2019
✔ NPI 1497314231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28159381A
422 N NAPPER RD, Lexington, IN 47138
Open in Google Maps ↗

Other Identifiers 1

Other28159381AIN · Registered Nurse

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather K. M. Crites Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Crites reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespring, Inc
8.5 mi
Federally Qualified Health Center (FQHC)
2277 W FRONTAGE RD
Austin, IN 47102
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
NPI 1811512239 (812) 413-3117

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 47138 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Crites's NPI number?

The NPI number for Heather Crites is 1497314231. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Heather Crites located?

Heather Crites practices at 422 N Napper Rd, Lexington, IN 47138. The listed phone number is (812) 889-2196.

What is Heather Crites's specialty?

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

Is Heather Crites enrolled in Medicare?

Yes. Heather Crites is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Crites's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Crites reassigns Medicare benefits to Lifespring, Inc (Austin, IN). 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 Crites's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Crites accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Heather Crites 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 Heather Crites was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.