HEATHER C MCTIGUE CRNP
NPI 1720415086
Nurse Practitioner in Bethlehem, PA

Active since October 02, 2013PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
3101 EMRICK BLVD STE 112, BETHLEHEM, PA 18020(484) 822-5570(833) 932-1227 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Sep 30, 2019 (2 updates tracked since 2019).

About Heather C Mctigue Crnp NPPES

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

HEATHER C MCTIGUE CRNP (NPI 1720415086) is an individual nurse practitioner in Bethlehem, Pennsylvania, licensed in Pennsylvania (SP013222) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720415086
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER C MCTIGUECredential: CRNP
Location Address3101 EMRICK BLVD STE 112Bethlehem, PA 18020-8037
Mailing Address3101 Emrick Blvd Ste 112Bethlehem, PA 18020-8037 · (484) 822-5570 · Fax (833) 932-1227
Fax(833) 932-1227
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2013
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1720415086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP013222
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3101 EMRICK BLVD STE 112, Bethlehem, PA 18020

Other Names 1

Former Name (1)Heather Kocher

Other Identifiers 1

Medicaid0451649NJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather C Mctigue Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426287624
PECOS Enrollment IDI20140211001124
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 Reassignments

8

Medicare enrollment records show Heather Mctigue reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3101 EMRICK BLVD STE 112
Bethlehem, PA 18020
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Urgent Care
3311 FARMERSVILLE RD STE 102A
Bethlehem, PA 18020
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 128 clinicians in this Medicare group
Colon & Rectal Surgery
123 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • Also billed through NPI 1578041174 (New Jersey), NPI 1780162396 (New Jersey)
  • 528 clinicians in this Medicare group
Urgent Care
487 E MOORESTOWN RD
Wind Gap, PA 18091
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Hospital-Anderson Campus
  • 104 clinicians in this Medicare group
Urgent Care
157 S WEST END BLVD
Quakertown, PA 18951
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 128 clinicians in this Medicare group
Urgent Care
111 ROUTE 715 STE 102
Brodheadsville, PA 18322
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 106 clinicians in this Medicare group
Urgent Care
575 S 9TH ST STE 7
Lehighton, PA 18235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 145 clinicians in this Medicare group
Urgent Care
2650 WOODGLEN RD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 90 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
263 services167 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services129 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
173 services173 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
53 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services47 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
41 services32 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18020 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers25 claims46 services$4.30 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$39.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020
Family Medicine
3101 EMRICK BLVD STE 112
BETHLEHEM, PA 18020

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 Mctigue's NPI number?

The NPI number for Heather Mctigue is 1720415086. It was assigned to this individual provider in the NPPES registry on October 2, 2013. The provider is also known as Heather Kocher.

Where is Heather Mctigue located?

Heather Mctigue practices at 3101 Emrick Blvd Ste 112, Bethlehem, PA 18020. The listed phone number is (484) 822-5570.

What is Heather Mctigue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Mctigue enrolled in Medicare?

Yes. Heather Mctigue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Mctigue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mctigue reassigns Medicare benefits to 8 organizations: St. Luke's Physician Group Inc (Bethlehem, PA), St. Luke's Hospital (Bethlehem, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ), St. Luke's Hosptial (Wind Gap, PA), St. Luke's Quakertown Hospital (Quakertown, PA) and 3 more organizations, listed in the Medicare section above. Each 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 Mctigue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Mctigue accept?

Health plans from Oscar Health list Heather Mctigue 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.

Is Heather Mctigue affiliated with any hospitals?

According to CMS data, Heather Mctigue is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Heather Mctigue was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.