HEIDI ANN DUCKER AG-ACNP
NPI 1528535804
Nurse Practitioner in Edgewood, KY

Q: What is Heidi Ducker's NPI number?

The NPI number for Heidi Ducker is 1528535804. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Q: What is Heidi Ducker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Ducker was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 25, 2018PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5880 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2019, Oct 25, 2018 (2 updates tracked since 2018).

On this page

About Heidi Ann Ducker Ag-acnp NPPES

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

HEIDI ANN DUCKER AG-ACNP (NPI 1528535804) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (3012820) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528535804

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHEIDI ANN DUCKERCredential: AG-ACNP

Location Address20 MEDICAL VILLAGE DREdgewood, KY 41017-5401

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 344-5552

Phone(859) 578-5880

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 25, 2018

Last NPPES UpdateApril 30, 20192 updates tracked since enumeration

✔ NPI 1528535804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3012820

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 3012820 (KY)

20 MEDICAL VILLAGE DR, Edgewood, KY 41017

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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

Heidi Ann Ducker Ag-acnp 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 ID8325387160

PECOS Enrollment IDI20190222000761

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services23 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

INFECTIOUS DISEASE CONSULTANTS INC

Internal Medicine (Infectious Disease)

20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

DAVID THOMAS TACKETT APRN

Nurse Practitioner

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 578-5880

DEBORAH JOY BARNETT PA-C

Physician Assistant

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 578-5880

VINCENT E ZIEGLER, PSC

Psychiatry & Neurology (Psychiatry)

20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017

Kenton County (859) 341-5074

DR. MICHEAL LINK ROBINSON MD, DMD

Dentist (Oral and Maxillofacial Surgery)

20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017

Kenton County (859) 331-2100

VIDYA RAJARAM DEVARAJAN M.D.

Internal Medicine (Infectious Disease)

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

THE CRANLEY SURGICAL ASSOC,INC.

Surgery

20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017

Kenton County (859) 578-0442

ANNA MORIAH GROTE CRNA

Nurse Anesthetist, Certified Registered

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 341-7246

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 Heidi Ducker's NPI number?

The NPI number for Heidi Ducker is 1528535804. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Heidi Ducker located?

Heidi Ducker practices at 20 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5880.

What is Heidi Ducker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heidi Ducker enrolled in Medicare?

Yes. Heidi Ducker 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 Heidi Ducker accept?

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

According to CMS data, Heidi Ducker is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Heidi Ducker was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.