Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEATHER KATHLEEN EDSTROM WHNP
NPI 1669162442
Nurse Practitioner - Women's Health in Phoenix, AZ

Active since May 15, 2023PECOS Enrolled
4751 N 15TH ST, PHOENIX, AZ 85014(602) 263-4212 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Feb 20, 2025, May 15, 2023 (3 updates tracked since 2023).

About Heather Kathleen Edstrom Whnp NPPES

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

HEATHER KATHLEEN EDSTROM WHNP (NPI 1669162442) is an individual women's health provider in Phoenix, Arizona, licensed in Arizona (336154) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669162442
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameHEATHER KATHLEEN EDSTROMCredential: WHNP
Location Address4751 N 15TH STPhoenix, AZ 85014-3707
Mailing Address2315 N Lantern LnFlagstaff, AZ 86001-1134 · (708) 921-6163
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1669162442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in AZ · 336154
4751 N 15TH ST, Phoenix, AZ 85014

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 (PECOS)

Heather Kathleen Edstrom Whnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85014 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

Nurse Practitioner (Obstetrics & Gynecology)
4751 N 15TH ST
PHOENIX, AZ 85014
Family Medicine
4751 N 15TH ST
PHOENIX, AZ 85014
Nurse Practitioner (Family)
4751 N 15TH ST
PHOENIX, AZ 85014

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 Edstrom's NPI number?

The NPI number for Heather Edstrom is 1669162442. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Heather Edstrom located?

Heather Edstrom practices at 4751 N 15th St, Phoenix, AZ 85014. The listed phone number is (602) 263-4212.

What is Heather Edstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Heather Edstrom enrolled in Medicare?

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

What insurance does Heather Edstrom accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Heather Edstrom 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.

When was this NPI record last updated?

The NPPES record for Heather Edstrom was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.