HEATHER ABBOTT NP
NPI 1609301282
Nurse Practitioner - Primary Care in Indianapolis, IN

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2485 DIRECTORS ROW STE D, INDIANAPOLIS, IN 46241(317) 941-7338 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Apr 20, 2017 (2 updates tracked since 2017).

About Heather Abbott Np NPPES

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

HEATHER ABBOTT NP (NPI 1609301282) is an individual primary care provider in Indianapolis, Indiana, licensed in Indiana (28184123A) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crawfordsville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609301282
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameHEATHER ABBOTTCredential: NP
Location Address2485 DIRECTORS ROW STE DIndianapolis, IN 46241-4907
Mailing Address2485 Directors Row Ste DIndianapolis, IN 46241-4907 · (317) 941-7338
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1609301282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IN · 28184123A
2485 DIRECTORS ROW STE D, Indianapolis, IN 46241

Accepted 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 Abbott Np 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 ID1557630514
PECOS Enrollment IDI20170706001989
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 15

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
888 services115 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
854 services148 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
411 services137 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
408 services102 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
194 services37 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
193 services36 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Crawfordsville

Acute Care Hospitals · Crawfordsville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150022
Location1710 Lafayette RdCrawfordsville, IN 47933 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46241 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%47 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$62.83 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Gerontology)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Family)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Family)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Family)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Gerontology)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Family)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241
Nurse Practitioner (Gerontology)
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241

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 Abbott's NPI number?

The NPI number for Heather Abbott is 1609301282. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Heather Abbott located?

Heather Abbott practices at 2485 Directors Row Ste D, Indianapolis, IN 46241. The listed phone number is (317) 941-7338.

What is Heather Abbott's specialty?

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

Is Heather Abbott enrolled in Medicare?

Yes. Heather Abbott 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 Abbott accept?

Health plans from CareSource and UnitedHealthcare list Heather Abbott 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 Abbott affiliated with any hospitals?

According to CMS data, Heather Abbott is affiliated with Franciscan Health Crawfordsville.

When was this NPI record last updated?

The NPPES record for Heather Abbott was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.