HEATHER ANNE WELLER FNP-C
NPI 1508624297
Nurse Practitioner - Family in Lakeport, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heather Anne Weller Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heather Weller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakeport, CA 95453
- Reassigned Medicare billing, California enrollment
- 59 clinicians in this Medicare group
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 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.
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.
LAKEPORT, CA 95453
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 Weller's NPI number?
The NPI number for Heather Weller is 1508624297. It was assigned to this individual provider in the NPPES registry on March 8, 2024.
Where is Heather Weller located?
Heather Weller practices at 925 Bevins Ct, Lakeport, CA 95453. The listed phone number is (707) 263-8382.
What is Heather Weller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heather Weller enrolled in Medicare?
Yes. Heather Weller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Heather Weller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Weller reassigns Medicare benefits to Lake County Tribal Health Consortium Inc. (Lakeport, CA). 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 Weller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Heather Weller was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Heather Anne Weller, FNP-C · NPI 1508624297
Family physician in Lakeport, California. Individual provider, active in the CMS NPPES registry since March 8, 2024.
## Identity
- **NPI:** 1508624297 (Entity type: Individual)
- **Enumerated:** March 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95028646 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 BEVINS CT, Lakeport, CA 95453-9754
- **Phone:** (707) 263-8382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lake County Tribal Health Consortium Inc. (NPI 1881697381, Lakeport, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508624297) · Data from the CMS NPPES public registry.