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KIRSTEN MICHELLE HEFRIGHT PA-C
NPI 1811547011
Physician Assistant - Medical in Du Bois, PA

Active since September 19, 2019PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
145 HOSPITAL AVE STE 211, DU BOIS, PA 15801(814) 375-2070(814) 375-2076 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, May 19, 2022, Apr 8, 2020 and 1 more (4 updates tracked since 2019).

About Kirsten Michelle Hefright Pa-c NPPES

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

KIRSTEN MICHELLE HEFRIGHT PA-C (NPI 1811547011) is an individual medical provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OA004985) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811547011
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIRSTEN MICHELLE HEFRIGHTCredential: PA-C
Location Address145 HOSPITAL AVE STE 211Du Bois, PA 15801-1464
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Phone(814) 375-2070
Fax(814) 375-2076
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 19, 2019
Last NPPES UpdateNovember 29, 20224 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1811547011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · OA004985✔ Licensed in PA · MA060990
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA060990 (PA)
145 HOSPITAL AVE STE 211, Du Bois, PA 15801
Open in Google Maps ↗

Other Names 1

Former Name (1)Kirsten Michelle Woodford Pa-c

Secondary Practice Locations 2

Location 1123 Hospital AveDuBois, PA 15801-1409 · Phone (814) 375-2070 · Fax (814) 375-2076
Location 21100 Million Dollar HwySaint Marys, PA 15857-2728 · Phone (814) 375-2070 · Fax (814) 375-2076

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Kirsten Michelle Hefright Pa-c 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 ID9739515461
PECOS Enrollment IDI20200128002915
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.

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.
168 services132 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.
122 services122 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.
67 services61 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

JAMES P PACELLI JR. M.D.
Psychiatry & Neurology (Neurology)
145 HOSPITAL AVE STE 211
DU BOIS, PA 15801
Clearfield County (814) 375-2070
CASSIDY MAUK FNP-C
Nurse Practitioner (Family)
145 HOSPITAL AVE STE 211
DU BOIS, PA 15801
Clearfield County (814) 375-3722

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 Kirsten Hefright's NPI number?

The NPI number for Kirsten Hefright is 1811547011. It was assigned to this individual provider in the NPPES registry on September 19, 2019. The provider is also known as Kirsten Michelle Woodford Pa-C.

Where is Kirsten Hefright located?

Kirsten Hefright practices at 145 Hospital Ave Ste 211, Du Bois, PA 15801. The listed phone number is (814) 375-2070.

What is Kirsten Hefright's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kirsten Hefright enrolled in Medicare?

Yes. Kirsten Hefright 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 Kirsten Hefright accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kirsten Hefright 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 Kirsten Hefright affiliated with any hospitals?

According to CMS data, Kirsten Hefright is affiliated with Penn Highlands Dubois, Penn Highlands Connellsville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Kirsten Hefright was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.