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NICOLE CHRISTINE HEIDENREICH PA-C
NPI 1700122959
Physician Assistant in Washington, DC

Active since December 17, 2012PECOS Enrolled
74.39/100
CMS Quality Rating
110 IRVING ST NW, DEPARTMENT OF NEUROSURGERY - ATTN GLORIA GOYONAGA, WASHINGTON, DC 20010(877) 202-5111 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Christine Heidenreich Pa-c NPPES

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

NICOLE CHRISTINE HEIDENREICH PA-C (NPI 1700122959) is an individual physician assistant in Washington, District Of Columbia, licensed in Maryland (C05842) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700122959
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE CHRISTINE HEIDENREICHCredential: PA-C
Location Address110 IRVING ST NW, DEPARTMENT OF NEUROSURGERY - ATTN GLORIA GOYONAGAWashington, DC 20010-3017
Mailing Address4940 Eastern AveBaltimore, MD 21224-2735 · (443) 939-5817
Phone(877) 202-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 17, 2012
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1700122959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C05842
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
110 IRVING ST NW, Washington, DC 20010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Christine Heidenreich Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335376201
PECOS Enrollment IDI20151001002483
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services43 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

MS. JANET E JUMPER N.P.
Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
District of Columbia (202) 877-7462
EMILY JEAN SIEGEL MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-8080
KIMBERLY SMITH
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (301) 902-1073
MISS ORE-OLUWA ODULANA LIMA DA SILVA CRNA
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. FAY HORNG M.D.
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. MICHAEL B SHVARTS MD
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000
DR. SCOTT THOMAS MARTYNA D.M.D.
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
District of Columbia (202) 877-7332
MS. NOOR-UL-HUDA AMER MEHDI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Heidenreich's NPI number?

The NPI number for Nicole Heidenreich is 1700122959. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Nicole Heidenreich located?

Nicole Heidenreich practices at 110 Irving St NW Department Of Neurosurgery - Attn Gloria Goyonaga, Washington, DC 20010. The listed phone number is (877) 202-5111.

What is Nicole Heidenreich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Heidenreich enrolled in Medicare?

Yes. Nicole Heidenreich is registered in the Medicare PECOS enrollment system.

Is Nicole Heidenreich affiliated with any hospitals?

According to CMS data, Nicole Heidenreich is affiliated with Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Heidenreich was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.