HEIDI S GILMORE ARNP
NPI 1760885701
Nurse Practitioner - Adult Health in Bellevue, WA

Active since October 06, 2014PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
13231 SE 36TH ST STE 110, BELLEVUE, WA 98006(206) 520-5000 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Heidi S Gilmore Arnp NPPES

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

HEIDI S GILMORE ARNP (NPI 1760885701) is an individual adult health provider in Bellevue, Washington, licensed in Washington (AP60511729) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760885701
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHEIDI S GILMORECredential: ARNP
Location Address13231 SE 36TH ST STE 110Bellevue, WA 98006-7321
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 6, 2014
Last NPPES UpdateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
NPI 1760885701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in WA · AP60511729
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP60511729 (WA)
13231 SE 36TH ST STE 110, Bellevue, WA 98006

Other Names 1

Former Name (1)Heidi Spurgeon Arnp

Other Identifiers 1

Medicaid1760885701WA

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

Heidi S Gilmore Arnp 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 ID6002138823
PECOS Enrollment IDI20141206000014
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 5

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.

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.
67 services57 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.
49 services37 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.
37 services33 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.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98006 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Family Medicine
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Nurse Practitioner (Family)
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Physician Assistant (Medical)
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Family Medicine
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Nurse Practitioner (Family)
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Family Medicine
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Social Worker (Clinical)
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
Nurse Practitioner (Adult Health)
13231 SE 36TH ST STE 110
BELLEVUE, WA 98006

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 Heidi Gilmore's NPI number?

The NPI number for Heidi Gilmore is 1760885701. It was assigned to this individual provider in the NPPES registry on October 6, 2014. The provider is also known as Heidi Spurgeon Arnp.

Where is Heidi Gilmore located?

Heidi Gilmore practices at 13231 SE 36th St Ste 110, Bellevue, WA 98006. The listed phone number is (206) 520-5000.

What is Heidi Gilmore's specialty?

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

Is Heidi Gilmore enrolled in Medicare?

Yes. Heidi Gilmore 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 Heidi Gilmore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Heidi Gilmore 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.

When was this NPI record last updated?

The NPPES record for Heidi Gilmore was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.