HEATHER ANNE WELLER FNP-C
NPI 1508624297
Nurse Practitioner - Family in Lakeport, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since March 08, 2024PECOS Enrolled

925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Heather Anne Weller Fnp-c NPPES

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

HEATHER ANNE WELLER FNP-C (NPI 1508624297) is an individual family provider in Lakeport, California, licensed in California (NP95028646) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508624297

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER ANNE WELLERCredential: FNP-C

Location Address925 BEVINS CTLakeport, CA 95453-9754

Mailing Address6035 Gold Dust DrKelseyville, CA 95451-9209 · (707) 695-6991

Phone(707) 263-8382

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 8, 2024

NPPES CertifiedMarch 8, 2024

✔ NPI 1508624297 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 CA · NP95028646

925 BEVINS CT, Lakeport, CA 95453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3072053149

PECOS Enrollment IDI20240904004222

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.