HEATHER MARIE HUGHES APRN, CNP, PMHNP-BC
NPI 1811684178
Nurse Practitioner - Psychiatric/Mental Health in Middletown, OH

Active since April 18, 2023PECOS EnrolledAccepts Medicare Assignment
1036 S VERITY PKWY, MIDDLETOWN, OH 45044(513) 454-1111 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, May 25, 2023 (2 updates tracked since 2023).

About Heather Marie Hughes Aprn, Cnp, Pmhnp-bc NPPES

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

HEATHER MARIE HUGHES APRN, CNP, PMHNP-BC (NPI 1811684178) is an individual psychiatric/mental health provider in Middletown, Ohio, licensed in Ohio (APRN.CNP.0033677) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811684178
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER MARIE HUGHESCredential: APRN, CNP, PMHNP-BC
Location Address1036 S VERITY PKWYMiddletown, OH 45044-5513
Mailing AddressPo Box 837Hamilton, OH 45012-0837 · (513) 454-1111 · Fax (513) 737-1592
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2023
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1811684178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0033677
1036 S VERITY PKWY, Middletown, OH 45044

Other Identifiers 1

Medicaid0018831OH

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

Heather Marie Hughes Aprn, Cnp, Pmhnp-bc 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 ID3870860687
PECOS Enrollment IDI20230929001008
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45044 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Psychiatric/Mental Health)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Clinic/Center (Primary Care)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Dentist
1036 S VERITY PKWY
MIDDLETOWN, OH 45044

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 Heather Hughes's NPI number?

The NPI number for Heather Hughes is 1811684178. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Heather Hughes located?

Heather Hughes practices at 1036 S Verity Pkwy, Middletown, OH 45044. The listed phone number is (513) 454-1111.

What is Heather Hughes's specialty?

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

Is Heather Hughes enrolled in Medicare?

Yes. Heather Hughes 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 Heather Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 other insurers list Heather Hughes 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 Heather Hughes was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.