DARA HEINLEIN NPP
NPI 1497861678
Nurse Practitioner - Psychiatric/Mental Health in Maplewood, NJ

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
515 VALLEY ST STE 203, MAPLEWOOD, NJ 07040(908) 663-2929(902) 219-6213 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dara Heinlein Npp NPPES

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

DARA HEINLEIN NPP (NPI 1497861678) is an individual psychiatric/mental health provider in Maplewood, New Jersey, licensed in New York (F400968) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497861678
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDARA HEINLEINCredential: NPP
Location Address515 VALLEY ST STE 203Maplewood, NJ 07040-4300
Mailing Address185 Green Street, Ste 2Kingston, NY 12401 · (845) 339-3736 · Fax (845) 339-6731
Fax(902) 219-6213
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1497861678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NY · F400968 Licensed in NY · F4009681
515 VALLEY ST STE 203, Maplewood, NJ 07040

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

Dara Heinlein Npp 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 ID4284630930
PECOS Enrollment IDI20061019000663, I20241121004911
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 4

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.
183 services57 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.
77 services48 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
28 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Garnet Health Medical Center Catskills

Acute Care Hospitals · Harris, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330386
Location68 Harris Bushville Road, P O Box 800Harris, NY 12742 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 20

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

Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Emergency Medicine
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040
Registered Nurse
515 VALLEY ST STE 203
MAPLEWOOD, NJ 07040

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 Dara Heinlein's NPI number?

The NPI number for Dara Heinlein is 1497861678. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Dara Heinlein located?

Dara Heinlein practices at 515 Valley St Ste 203, Maplewood, NJ 07040. The listed phone number is (908) 663-2929.

What is Dara Heinlein's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dara Heinlein enrolled in Medicare?

Yes. Dara Heinlein 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.

Is Dara Heinlein affiliated with any hospitals?

According to CMS data, Dara Heinlein is affiliated with Glens Falls Hospital, Saratoga Hospital and Garnet Health Medical Center Catskills.

When was this NPI record last updated?

The NPPES record for Dara Heinlein was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.