HEATHER M. ST. AMOUR NP
NPI 1700486065
Nurse Practitioner - Adult Health in East Syracuse, NY

Active since October 27, 2020PECOS Enrolled
5015 CAMPUSWOOD DR, EAST SYRACUSE, NY 13057(315) 204-0397 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 9, 2024, Aug 11, 2022, Oct 27, 2020 (3 updates tracked since 2020).

About Heather M. St. Amour Np NPPES

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

HEATHER M. ST. AMOUR NP (NPI 1700486065) is an individual adult health provider in East Syracuse, New York, licensed in New York (310039) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700486065
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHEATHER M. ST. AMOURCredential: NP
Location Address5015 CAMPUSWOOD DREast Syracuse, NY 13057-4232
Mailing Address50 S B B King Blvd # 100Memphis, TN 38103-2626 · (901) 436-1381
Sole ProprietorNo
Enumeration DateOctober 27, 2020
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1700486065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 310039
5015 CAMPUSWOOD DR, East Syracuse, NY 13057

Other Names 1

Former Name (1)Heather M. Mouton

Other Identifiers 1

Medicaid1700486065NY

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 M. St. Amour Np 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 13057 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Family Medicine
5015 CAMPUSWOOD DR
EAST SYRACUSE, NY 13057

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 St. Amour's NPI number?

The NPI number for Heather St. Amour is 1700486065. It was assigned to this individual provider in the NPPES registry on October 27, 2020. The provider is also known as Heather M. Mouton.

Where is Heather St. Amour located?

Heather St. Amour practices at 5015 Campuswood Dr, East Syracuse, NY 13057. The listed phone number is (315) 204-0397.

What is Heather St. Amour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Heather St. Amour enrolled in Medicare?

Yes. Heather St. Amour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather St. Amour was last updated on September 9, 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.