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HEATHER MARGRETHE REED APNP
NPI 1548981509
Nurse Practitioner in Janesville, WI

Active since September 08, 2022PECOS EnrolledAccepts Medicare Assignment
MERCY HEALTH TERRACE CLINIC, 510 N. TERRACE ST., JANESVILLE, WI 53548(608) 756-6869 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 5, 2023, Nov 4, 2022, Sep 8, 2022 (3 updates tracked since 2022).

About Heather Margrethe Reed Apnp NPPES

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

HEATHER MARGRETHE REED APNP (NPI 1548981509) is an individual nurse practitioner in Janesville, Wisconsin, licensed in Wisconsin (13239-33) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1548981509
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER MARGRETHE REEDCredential: APNP
Location AddressMERCY HEALTH TERRACE CLINIC, 510 N. TERRACE ST.Janesville, WI 53548-2906
Mailing Address3200 E Racine StJanesville, WI 53546-2343
Phone(608) 756-6869
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 8, 2022
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1548981509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13239-33
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.
MERCY HEALTH TERRACE CLINIC, Janesville, WI 53548
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Other Names 1

Former Name (1)Heather Bingham

Secondary Practice Location 1

Location 13200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.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

Heather Margrethe Reed Apnp 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 ID941678221
PECOS Enrollment IDI20221117000233
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services39 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.
51 services25 patients
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.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Reed's NPI number?

The NPI number for Heather Reed is 1548981509. It was assigned to this individual provider in the NPPES registry on September 8, 2022. The provider is also known as Heather Bingham.

Where is Heather Reed located?

Heather Reed practices at Mercy Health Terrace Clinic 510 N. Terrace St., Janesville, WI 53548. The listed phone number is (608) 756-6869.

What is Heather Reed's specialty?

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

Is Heather Reed enrolled in Medicare?

Yes. Heather Reed 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 Heather Reed accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Heather Reed 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 Heather Reed affiliated with any hospitals?

According to CMS data, Heather Reed is affiliated with Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Heather Reed was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.