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HEATHER A CARROLL FNP-BC
NPI 1689429854
Nurse Practitioner - Family in Elkhart, IN

Active since April 22, 2024PECOS Enrolled
2405 W LEXINGTON AVE, ELKHART, IN 46514(574) 524-7575(574) 524-7575 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Apr 8, 2026, Mar 20, 2025 and 1 more (4 updates tracked since 2024).

About Heather A Carroll Fnp-bc NPPES

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

HEATHER A CARROLL FNP-BC (NPI 1689429854) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71015192A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689429854
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER A CARROLLCredential: FNP-BC
Location Address2405 W LEXINGTON AVEElkhart, IN 46514-1417
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 524-7575
Fax(574) 524-7575
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1689429854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71015192A
2405 W LEXINGTON AVE, Elkhart, IN 46514
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11215 Lawn Ave Ste 110Elkhart, IN 46514-2493 · Phone (574) 524-7570 · Fax (574) 524-7571
Location 2100 Navarre Pl Ste 4470South Bend, IN 46601-1168 · Phone (574) 647-1405 · Fax (574) 647-3970
Location 3202 Lincolnway E Ste 201Mishawaka, IN 46544-2079 · Phone (574) 584-2812 · Fax (574) 584-2813

Other Identifiers 1

Medicaid300093448IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather A Carroll Fnp-bc 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 Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group, Inc.
0.3 mi
Cardiovascular Disease
303 S NAPPANEE ST STE A
Elkhart, IN 46514
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1700187457 (574) 296-3338

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 46514 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.

Other Providers at the Same Location NPPES 14

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

LEAH ROTH MILLER CNM
Advanced Practice Midwife
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 524-7575
RIVER OAKS OB/GYN ASSOCIATES
Nurse Practitioner (Obstetrics & Gynecology)
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 295-8805
RIVER OAKS OB/GYN ASSOCIATES, P.C.
Obstetrics & Gynecology
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 295-8805
DR. ROSALIE L MCBRIDE M.D.
Obstetrics & Gynecology (Obstetrics)
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 524-7575
DR. STEPHEN P HOLLENBERG M.D.
Obstetrics & Gynecology (Obstetrics)
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 295-8805
JULIE A ZEHR CRNP
Nurse Practitioner (Obstetrics & Gynecology)
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 295-8805
ASHLEY DAWN RUIZ
Advanced Practice Midwife
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 524-7575
KIMBERLY ANNE DAVIES N.P.
Nurse Practitioner (Obstetrics & Gynecology)
2405 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 295-8805

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 Carroll's NPI number?

The NPI number for Heather Carroll is 1689429854. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Heather Carroll located?

Heather Carroll practices at 2405 W Lexington Ave, Elkhart, IN 46514. The listed phone number is (574) 524-7575.

What is Heather Carroll's specialty?

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

Is Heather Carroll enrolled in Medicare?

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

Which organization bills Medicare for Heather Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Carroll reassigns Medicare benefits to Beacon Medical Group, Inc. (Elkhart, IN). 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 Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Carroll accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Heather Carroll 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 Carroll was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.