NICOLE FONTAINE HEINL MD
NPI 1588160402
Internal Medicine in Bellevue, WA

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1035 116TH AVE NE, BELLEVUE, WA 98004(425) 688-5000 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2021, Mar 31, 2018 (2 updates tracked since 2018).

About Nicole Fontaine Heinl Md NPPES

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

NICOLE FONTAINE HEINL MD (NPI 1588160402) is an individual internal medicine provider in Bellevue, Washington, licensed in Washington (MD.MD.61200920) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (2018).

NPPES Registry Identity

NPI1588160402
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICOLE FONTAINE HEINLCredential: MD
Location Address1035 116TH AVE NEBellevue, WA 98004-4604
Mailing Address1035 116th Ave NeBellevue, WA 98004-4604
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2018
Enumeration DateMarch 31, 2018
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1588160402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD.MD.61200920
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1035 116TH AVE NE, Bellevue, WA 98004

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

Nicole Fontaine Heinl Md 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 ID4486065265
PECOS Enrollment IDI20220325000991
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 Reassignment

Medicare enrollment records show Nicole Heinl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
1135 116TH AVE NE, SUITE 110
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
164 services162 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 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 Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

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.

Physical Therapist
1035 116TH AVE NE
BELLEVUE, WA 98004
Anesthesiology
1035 116TH AVE NE
BELLEVUE, WA 98004
Physician Assistant (Medical)
1035 116TH AVE NE
BELLEVUE, WA 98004
Physician Assistant
1035 116TH AVE NE
BELLEVUE, WA 98004
Nurse's Aide
1035 116TH AVE NE
BELLEVUE, WA 98004
Nurse Practitioner (Family)
1035 116TH AVE NE
BELLEVUE, WA 98004
Pharmacist (Pharmacotherapy)
1035 116TH AVE NE
BELLEVUE, WA 98004
Emergency Medicine
1035 116TH AVE NE
BELLEVUE, WA 98004

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 Nicole Heinl's NPI number?

The NPI number for Nicole Heinl is 1588160402. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is Nicole Heinl located?

Nicole Heinl practices at 1035 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 688-5000.

What is Nicole Heinl's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Heinl enrolled in Medicare?

Yes. Nicole Heinl 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 organization bills Medicare for Nicole Heinl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Heinl reassigns Medicare benefits to Overlake Medical Clinics, LLC (Bellevue, WA). 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 Nicole Heinl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Heinl accept?

Health plans from Providence Health Plan list Nicole Heinl 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 Nicole Heinl affiliated with any hospitals?

According to CMS data, Nicole Heinl is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Heinl was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.