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MRS. ANNELIESE HETHERSHAW
NPI 1780492728
Nurse Practitioner - Family in Dunedin, FL

Active since December 23, 2024PECOS Enrolled
1571 AMBERLEA DR S, DUNEDIN, FL 34698(727) 385-6928 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Anneliese Hethershaw NPPES

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

MRS. ANNELIESE HETHERSHAW (NPI 1780492728) is an individual family provider in Dunedin, Florida, licensed in Florida (APRN11036011) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780492728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANNELIESE HETHERSHAW
Location Address1571 AMBERLEA DR SDunedin, FL 34698-4600
Mailing Address1571 Amberlea Dr SDunedin, FL 34698-4600 · (727) 385-6928
Phone(727) 385-6928
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1780492728 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 FL · APRN11036011
1571 AMBERLEA DR S, Dunedin, FL 34698
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Anneliese Hethershaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092298570
PECOS Enrollment IDI20260312002181
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

2

Medicare enrollment records show Anneliese Hethershaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of Mease Hospital, Inc
3.5 mi
Family Medicine
3231 MCMULLEN BOOTH RD FL 1
Safety Harbor, FL 34695
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1063204758 (727) 725-6111
Morton Plant Hospital Association, Inc.
5.7 mi
Family Medicine
300 PINELLAS ST FL 1
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1962294397 (727) 462-7000

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 34698 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Anneliese Hethershaw's NPI number?

The NPI number for Anneliese Hethershaw is 1780492728. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Anneliese Hethershaw located?

Anneliese Hethershaw practices at 1571 Amberlea Dr S, Dunedin, FL 34698. The listed phone number is (727) 385-6928.

What is Anneliese Hethershaw's specialty?

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

Is Anneliese Hethershaw enrolled in Medicare?

Yes. Anneliese Hethershaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anneliese Hethershaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anneliese Hethershaw reassigns Medicare benefits to 2 organizations: Trustees Of Mease Hospital, Inc (Safety Harbor, FL) and Morton Plant Hospital Association, Inc. (Clearwater, FL). 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 Anneliese Hethershaw'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 Anneliese Hethershaw was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.