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JACQUELYN HERON
NPI 1780064097
Advanced Practice Midwife in Havre De Grace, MD

Active since June 02, 2015PECOS Enrolled
308 N UNION AVE, HAVRE DE GRACE, MD 21078(410) 939-3121 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacquelyn Heron NPPES

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

JACQUELYN HERON (NPI 1780064097) is an individual advanced practice midwife in Havre De Grace, Maryland, licensed in Maryland (R193492) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bel Air.

NPPES Registry Identity

NPI1780064097
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameJACQUELYN HERON
Location Address308 N UNION AVEHavre De Grace, MD 21078-2825
Mailing Address2612 Taplin LnFallston, MD 21047-2048 · (410) 688-0034
Phone(410) 939-3121
Sole ProprietorNo
Enumeration DateJune 2, 2015
Last NPPES UpdateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1780064097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in MD · R193492
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License R193492 (MD)
308 N UNION AVE, Havre De Grace, MD 21078
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Secondary Practice Location 1

Location 1520 Upper Chesapeake Dr Ste 301Bel Air, MD 21014-4375 · Phone (443) 643-4300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Heron 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyn Heron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Maryland St. Joseph Medical Group, LLC
30 mi
Surgical Assistant
7601 OSLER DR
Towson, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • 501 clinicians in this Medicare group
NPI 1053816074 (410) 337-1379

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21078 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES 10

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

RHEA WILLIAMS
Advanced Practice Midwife
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121
SUSQUEHANNA OB-GYN LLC
Obstetrics & Gynecology
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121
MARYLAND PHYSICIANS EDGE LLC
Obstetrics & Gynecology
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121
MRS. LORI ANN ANTINOZZI CNM
Advanced Practice Midwife
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-4159
LEIPOLD BELLANTONI M.D.
Specialist
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121
DR. JON J BELLANTONI M.D.
Obstetrics & Gynecology
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121
MRS. DEBBIE L BOYD CRNP
Nurse Practitioner (Obstetrics & Gynecology)
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121
KATHLEEN M GOTZMANN M.D.
Specialist
308 N UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3121

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 Jacquelyn Heron's NPI number?

The NPI number for Jacquelyn Heron is 1780064097. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Jacquelyn Heron located?

Jacquelyn Heron practices at 308 N Union Ave, Havre De Grace, MD 21078. The listed phone number is (410) 939-3121.

What is Jacquelyn Heron's specialty?

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

Is Jacquelyn Heron enrolled in Medicare?

Yes. Jacquelyn Heron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelyn Heron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Heron reassigns Medicare benefits to University Of Maryland St. Joseph Medical Group, LLC (Towson, MD). The 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 Jacquelyn Heron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Heron was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.