MRS. HEATHER DYAN CARRION CNM
NPI 1740506237
Advanced Practice Midwife in West Grove, PA

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
1011 W BALTIMORE PIKE, STE 208, WEST GROVE, PA 19390(610) 869-2220(610) 869-6550 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Heather Dyan Carrion Cnm NPPES

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

MRS. HEATHER DYAN CARRION CNM (NPI 1740506237) is an individual advanced practice midwife in West Grove, Pennsylvania, licensed in Pennsylvania (MW010216) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740506237
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. HEATHER DYAN CARRIONCredential: CNM
Location Address1011 W BALTIMORE PIKE, STE 208West Grove, PA 19390-9446
Mailing Address1011 W Baltimore Pike, Ste 208West Grove, PA 19390-9446 · (610) 869-2220 · Fax (610) 869-6550
Fax(610) 869-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 9, 2010
Last NPPES UpdateNovember 22, 2013
NPI 1740506237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses Licensed in PA · MW010216 Licensed in NY · 001364
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1011 W BALTIMORE PIKE, West Grove, PA 19390

Other Names 1

Former Name (1)Ms. Heather Dyan Donaldson Cnm

Accepted 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

Mrs. Heather Dyan Carrion Cnm 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 ID7618286162
PECOS Enrollment IDI20151022002452
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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19390 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

Orthopaedic Surgery
1011 W BALTIMORE PIKE, SUITE 112
WEST GROVE, PA 19390
Ophthalmology
1011 W BALTIMORE PIKE, SUITE 211
WEST GROVE, PA 19390
Internal Medicine
1011 W BALTIMORE PIKE, SUITE 301
WEST GROVE, PA 19390
Advanced Practice Midwife
1011 W BALTIMORE PIKE, SUITE 208
WEST GROVE, PA 19390
Internal Medicine (Adolescent Medicine)
1011 W BALTIMORE PIKE, SUITE 301
WEST GROVE, PA 19390
Pharmacy (Community/Retail Pharmacy)
1011 W BALTIMORE PIKE, STE 109
WEST GROVE, PA 19390
Ophthalmology
1011 W BALTIMORE PIKE, SUITE 303
WEST GROVE, PA 19390
Obstetrics & Gynecology
1011 W BALTIMORE PIKE, SUITE 102
WEST GROVE, PA 19390

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 Carrion's NPI number?

The NPI number for Heather Carrion is 1740506237. It was assigned to this individual provider in the NPPES registry on April 9, 2010. The provider is also known as Ms. Heather Dyan Donaldson Cnm.

Where is Heather Carrion located?

Heather Carrion practices at 1011 W Baltimore Pike Ste 208, West Grove, PA 19390. The listed phone number is (610) 869-2220.

What is Heather Carrion's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Heather Carrion enrolled in Medicare?

Yes. Heather Carrion 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 Heather Carrion accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Heather Carrion 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 Carrion affiliated with any hospitals?

According to CMS data, Heather Carrion is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Carrion was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.