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HEATHER NICOLE THOMAS APNP
NPI 1629534813
Nurse Practitioner - Family in Burlington, WI

Active since February 13, 2019PECOS Enrolled
496 MC CANNA PKWY, BURLINGTON, WI 53105(414) 279-6128(866) 538-6903 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Apr 10, 2019, Feb 13, 2019 (3 updates tracked since 2019).

About Heather Nicole Thomas Apnp NPPES

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

HEATHER NICOLE THOMAS APNP (NPI 1629534813) is an individual family provider in Burlington, Wisconsin, licensed in Wisconsin (9097-33) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629534813
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER NICOLE THOMASCredential: APNP
Location Address496 MC CANNA PKWYBurlington, WI 53105-3623
Mailing Address3209 Tanglewood DrWaukesha, WI 53189-6889 · (262) 385-2004
Phone(414) 279-6128
Fax(866) 538-6903
Sole ProprietorNo
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1629534813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 9097-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 171048-30 (WI)
496 MC CANNA PKWY, Burlington, WI 53105
Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Nicole Grohs

Other Identifiers 2

Other171048-30WI · Rn License
Other9097-33WI · Apnp License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Nicole Thomas Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Heather Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Southeast Wisconsin Inc
33 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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.

Other Providers at the Same Location NPPES

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

REAL HEALTHCARE
Clinic/Center (Primary Care)
496 MC CANNA PKWY
BURLINGTON, WI 53105
Racine County (414) 296-6128

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 Thomas's NPI number?

The NPI number for Heather Thomas is 1629534813. It was assigned to this individual provider in the NPPES registry on February 13, 2019. The provider is also known as Heather Nicole Grohs.

Where is Heather Thomas located?

Heather Thomas practices at 496 Mc Canna Pkwy, Burlington, WI 53105. The listed phone number is (414) 279-6128.

What is Heather Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Thomas enrolled in Medicare?

Yes. Heather Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Thomas reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Heather Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Thomas was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.