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ELIZABETH LENA JEAN HEATON APRN
NPI 1518596758
Nurse Practitioner - Primary Care in Bardstown, KY

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4359 NEW SHEPHERDSVILLE RD UNIT 255, BARDSTOWN, KY 40004(502) 350-5800(502) 350-5820 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Lena Jean Heaton Aprn NPPES

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

ELIZABETH LENA JEAN HEATON APRN (NPI 1518596758) is an individual primary care provider in Bardstown, Kentucky, licensed in Kentucky (3014489) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Chi Saint Joseph Health -flaget Memorial Hospital, and maintains a secondary practice location in Elizabethtown.

NPPES Registry Identity

NPI1518596758
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELIZABETH LENA JEAN HEATONCredential: APRN
Location Address4359 NEW SHEPHERDSVILLE RD UNIT 255Bardstown, KY 40004-8004
Mailing AddressPo Box 936London, KY 40743-0936 · (502) 350-5800 · Fax (502) 350-5820
Phone(502) 350-5800
Fax(502) 350-5820
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1518596758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KY · 3014489
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3014489 (KY)
4359 NEW SHEPHERDSVILLE RD UNIT 255, Bardstown, KY 40004
Open in Google Maps ↗

Secondary Practice Location 1

Location 11310 Woodland DrElizabethtown, KY 42701-2651 · Phone (270) 706-1918

Other Identifiers 1

Medicaid7100666810KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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

Elizabeth Lena Jean Heaton Aprn 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 ID2163853789
PECOS Enrollment IDI20200515000813
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

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180025
Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40004 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KAREN E REED MD
Obstetrics & Gynecology
4359 NEW SHEPHERDSVILLE RD UNIT 255
BARDSTOWN, KY 40004
Nelson County (502) 350-5800
MRS. KATY LEANNE MARCUM APRN
Nurse Practitioner (Family)
4359 NEW SHEPHERDSVILLE RD UNIT 255
BARDSTOWN, KY 40004
Nelson County (502) 350-5800

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 Elizabeth Heaton's NPI number?

The NPI number for Elizabeth Heaton is 1518596758. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Elizabeth Heaton located?

Elizabeth Heaton practices at 4359 New Shepherdsville Rd Unit 255, Bardstown, KY 40004. The listed phone number is (502) 350-5800.

What is Elizabeth Heaton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Elizabeth Heaton enrolled in Medicare?

Yes. Elizabeth Heaton 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.

What insurance does Elizabeth Heaton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Elizabeth Heaton 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 Elizabeth Heaton affiliated with any hospitals?

According to CMS data, Elizabeth Heaton is affiliated with Chi Saint Joseph Health -Flaget Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Heaton was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.