CATHARINE ANNE HEFFERNAN CNM
NPI 1508854647
Nurse Practitioner - Obstetrics & Gynecology in Rumford, ME

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
79.37/100
CMS Quality Rating
430 FRANKLIN ST, RUMFORD, ME 04276(207) 369-0146 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2025, Nov 21, 2023 (2 updates tracked since 2023).

About Catharine Anne Heffernan Cnm NPPES

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

CATHARINE ANNE HEFFERNAN CNM (NPI 1508854647) is an individual obstetrics & gynecology provider in Rumford, Maine, licensed in Maine (CNM82009) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Bridgton Hospital, and maintains a secondary practice location in Bridgton.

NPPES Registry Identity

NPI1508854647
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameCATHARINE ANNE HEFFERNANCredential: CNM
Location Address430 FRANKLIN STRumford, ME 04276-2104
Mailing Address172 Sheepskin Bog RdGreenwood, ME 04255-3634 · (207) 205-1268 · Fax (207) 624-3845
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 12, 2005
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1508854647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in ME · CNM82009
430 FRANKLIN ST, Rumford, ME 04276

Other Names 1

Other Name (5)Catherine Anne Heffernan Cnm Msn

Secondary Practice Location 1

Location 110 Hospital DrBridgton, ME 04009-1148 · Phone (207) 647-6064

Other Identifiers 8

Other5365632ME · Non Hmo Aetna
Other3699646ME · Hmo Aetna
Other510524452ME · Mednet
Other047918ME · Anthem Bc/bs
Medicaid251880099ME
OtherAA26161MA · Harvard Pilgram
Other047918ME · Anthem Managed Care
Other5892611ME · Cigna

Accepted 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

Catharine Anne Heffernan Cnm 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 ID2668367889
PECOS Enrollment IDI20040309000274
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 Reassignments

6

Medicare enrollment records show Catharine Heffernan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
431 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 77 clinicians in this Medicare group
Same address
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
Critical Access
35 MILES ST
Damariscotta, ME 04543
  • Reassigned Medicare billing, Maine enrollment
  • 221 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.

Hospital Affiliations CMS Care Compare

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

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04276 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.66
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Physician Assistant
430 FRANKLIN ST
RUMFORD, ME 04276
Hospitalist
430 FRANKLIN ST
RUMFORD, ME 04276
Social Worker (Clinical)
430 FRANKLIN ST
RUMFORD, ME 04276
Social Worker (Clinical)
430 FRANKLIN ST
RUMFORD, ME 04276
Family Medicine
430 FRANKLIN ST
RUMFORD, ME 04276
Family Medicine
430 FRANKLIN ST
RUMFORD, ME 04276
Clinic/Center (Rural Health)
430 FRANKLIN ST
RUMFORD, ME 04276
Family Medicine
430 FRANKLIN ST
RUMFORD, ME 04276

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 Catharine Heffernan's NPI number?

The NPI number for Catharine Heffernan is 1508854647. It was assigned to this individual provider in the NPPES registry on October 12, 2005. The provider is also known as Catherine Anne Heffernan Cnm Msn.

Where is Catharine Heffernan located?

Catharine Heffernan practices at 430 Franklin St, Rumford, ME 04276. The listed phone number is (207) 369-0146.

What is Catharine Heffernan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Catharine Heffernan enrolled in Medicare?

Yes. Catharine Heffernan 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 organizations bill Medicare for Catharine Heffernan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catharine Heffernan reassigns Medicare benefits to 6 organizations: Rumford Community Family Health Center Inc. (Rumford, ME), Rumford Hospital (Rumford, ME), Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME), Mainegeneral Medical Center (Augusta, ME) and 1 more organization, listed in the Medicare section above. Each 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 Catharine Heffernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catharine Heffernan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Catharine Heffernan 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 Catharine Heffernan affiliated with any hospitals?

According to CMS data, Catharine Heffernan is affiliated with Bridgton Hospital.

When was this NPI record last updated?

The NPPES record for Catharine Heffernan was last updated on November 6, 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.