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MARTA HESHELMAN
NPI 1730540592
Nurse Practitioner - Family in Bloomington, IN

Active since March 08, 2016PECOS EnrolledAccepts Medicare Assignment
77.74/100
CMS Quality Rating
3209 W REDDY WAY STE C, BLOOMINGTON, IN 47403(812) 825-6006 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marta Heshelman NPPES

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

MARTA HESHELMAN (NPI 1730540592) is an individual family provider in Bloomington, Indiana, licensed in Indiana (28129108A) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730540592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARTA HESHELMAN
Location Address3209 W REDDY WAY STE CBloomington, IN 47403-4089
Mailing Address421 S Landmark AveBloomington, IN 47403-5003 · (812) 332-4468
Phone(812) 825-6006
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 8, 2016
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1730540592 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 · 28129108A
3209 W REDDY WAY STE C, Bloomington, IN 47403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marta Heshelman 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 ID648557082
PECOS Enrollment IDI20170511002195
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 10

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 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.
1,652 services418 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
532 services143 patients
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.
136 services77 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
80 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services43 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Monroe Hospital

Acute Care Hospitals · Bloomington, IN
OwnershipProprietary
CMS Certification Number150183
Location4011 S Monroe Medical Park BlvdBloomington, IN 47403 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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.

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.

77.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.21
Promoting Interoperability93
Improvement Activities40
Cost75.43

Reported Quality Measures

Advance Care Plan
12%890 patients1/55-star benchmark: 100%
Breast Cancer Screening
27%281 patients2/55-star benchmark: 93%
Cervical Cancer Screening
29%183 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
8%24 patients
Closing the Referral Loop: Receipt of Specialist Report
42%110 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
20%581 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
38%322 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
6%287 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
69%287 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%3,820 patients4/55-star benchmark: 100%
e-Prescribing
98%1,021 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%876 patients1/55-star benchmark: 100%
HIV Screening
1%425 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%2,502 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
39%663 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%428 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 886 patients
Patients totalRate: 5% · 906 patients
6%906 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

CHRISTOPHER LAMBERT
Nurse Practitioner (Family)
3209 W REDDY WAY STE C
BLOOMINGTON, IN 47403
Monroe County (812) 345-6865

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 Marta Heshelman's NPI number?

The NPI number for Marta Heshelman is 1730540592. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Where is Marta Heshelman located?

Marta Heshelman practices at 3209 W Reddy Way Ste C, Bloomington, IN 47403. The listed phone number is (812) 825-6006.

What is Marta Heshelman's specialty?

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

Is Marta Heshelman enrolled in Medicare?

Yes. Marta Heshelman 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.

What insurance does Marta Heshelman accept?

Health plans from CareSource and UnitedHealthcare list Marta Heshelman 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 Marta Heshelman affiliated with any hospitals?

According to CMS data, Marta Heshelman is affiliated with Indiana University Health Bloomington Hospital and Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Marta Heshelman was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.