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MS. RITA K HERON NP, CNS
NPI 1780777813
Nurse Practitioner - Psychiatric/Mental Health in Newburyport, MA

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
4 UPLAND RD, NEWBURYPORT, MA 01950(978) 376-0508 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Rita K Heron Np, Cns NPPES

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

MS. RITA K HERON NP, CNS (NPI 1780777813) is an individual psychiatric/mental health provider in Newburyport, Massachusetts, licensed in New Hampshire (055656-23-08) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780777813
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. RITA K HERONCredential: NP, CNS
Location Address4 UPLAND RDNewburyport, MA 01950-1926
Mailing Address4 Upland RdNewburyport, MA 01950-1926 · (978) 376-0508
Phone(978) 376-0508
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 2, 2006
Last NPPES UpdateApril 3, 2013
✔ NPI 1780777813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NH · 055656-23-08✔ Licensed in MA · 141751
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 141751 (MA)
4 UPLAND RD, Newburyport, MA 01950
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Other Identifiers 2

OtherPN0860MA · Bcbs
Medicare ID-Type UnspecifiedNS0722MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Providence Health Plan.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

Ms. Rita K Heron Np, Cns 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 ID9537140314
PECOS Enrollment IDI20120306000623
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.

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.
140 services11 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
138 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 Rita Heron's NPI number?

The NPI number for Rita Heron is 1780777813. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Rita Heron located?

Rita Heron practices at 4 Upland Rd, Newburyport, MA 01950. The listed phone number is (978) 376-0508.

What is Rita Heron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rita Heron enrolled in Medicare?

Yes. Rita Heron 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 Rita Heron accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Providence Health Plan list Rita Heron 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 Rita Heron was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.