HEATHER DONALDSON
NPI 1811757370
Nurse Practitioner - Family in Boiling Springs, SC

Active since March 21, 2024PECOS EnrolledAccepts Medicare Assignment
1888 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316(828) 287-0200 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather Donaldson NPPES

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

HEATHER DONALDSON (NPI 1811757370) is an individual family provider in Boiling Springs, South Carolina, licensed in South Carolina (30059) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811757370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER DONALDSON
Location Address1888 BOILING SPRINGS RDBoiling Springs, SC 29316-5124
Mailing Address1888 Boiling Springs RdBoiling Springs, SC 29316-5124
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2024
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1811757370 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
Licenses✔ Licensed in SC · 30059✔ Licensed in NC · 5019808
1888 BOILING SPRINGS RD, Boiling Springs, SC 29316

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Donaldson 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 ID8820532138
PECOS Enrollment IDI20250516002052
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

3

Medicare enrollment records show Heather Donaldson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
698 FAIRVIEW RD
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 176 clinicians in this Medicare group
Family
698 FAIRVIEW RD
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 112 clinicians in this Medicare group
Family
1 CVS DR
Woonsocket, RI 02895
  • Reassigned Medicare billing, South Carolina enrollment
  • 114 clinicians in this Medicare group

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 29316 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 11

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

Pharmacist
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Pharmacist
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Pharmacist
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Nurse Practitioner (Family)
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Pharmacist
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Pharmacy
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Nurse Practitioner (Family)
1888 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316
Nurse Practitioner (Family)
1888 BOILING SPRINGS RD
SPARTANBURG, SC 29316

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 Donaldson's NPI number?

The NPI number for Heather Donaldson is 1811757370. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Heather Donaldson located?

Heather Donaldson practices at 1888 Boiling Springs Rd, Boiling Springs, SC 29316. The listed phone number is (828) 287-0200.

What is Heather Donaldson's specialty?

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

Is Heather Donaldson enrolled in Medicare?

Yes. Heather Donaldson 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.

Which organizations bill Medicare for Heather Donaldson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Donaldson reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC), Minuteclinic Primary Care South Carolina LLC (Simpsonville, SC) and Minuteclinic Video Virtual Care, PLLC (Woonsocket, RI). 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 Heather Donaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Donaldson accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Heather Donaldson 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 Donaldson was last updated on April 18, 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.