HEATHER LYNN STEWART-MODIC APRN-BC
NPI 1851961940
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Q: What is Heather Stewart-modic's NPI number?

The NPI number for Heather Stewart-modic is 1851961940. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Q: What is Heather Stewart-modic's specialty?

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

Active since June 30, 2021PECOS EnrolledAccepts Medicare Assignment

431 E BROAD ST, COLUMBUS, OH 43215(614) 885-5020(614) 319-7630 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Jun 30, 2021 (2 updates tracked since 2021).

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About Heather Lynn Stewart-modic Aprn-bc NPPES

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

HEATHER LYNN STEWART-MODIC APRN-BC (NPI 1851961940) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0029374) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2021).

NPPES Registry Identity

NPI1851961940

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHEATHER LYNN STEWART-MODICCredential: APRN-BC

Location Address431 E BROAD STColumbus, OH 43215-4004

Mailing Address2725 Lincoln St ECanton, OH 44707-2769 · (330) 454-2000 · Fax (234) 215-3161

Phone(614) 885-5020

Fax(614) 319-7630

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2021

Enumeration DateJune 30, 2021

Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1851961940 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.0029374

431 E BROAD ST, Columbus, OH 43215

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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 Lynn Stewart-modic Aprn-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 ID3476957317

PECOS Enrollment IDI20210813002170

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

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

Oh Independent Medical Group LLC

4.9 mi

Family Medicine

3430 OHIO HEALTH PKWY
Columbus, OH 43202

Reassigned Medicare billing, Ohio enrollment
174 clinicians in this Medicare group

NPI 1497482111 (614) 566-0152

The Center For Individual And Family Services, Inc.

59 mi

Mental Health (Including Community Mental Health Center)

741 SCHOLL RD
Mansfield, OH 44907

Reassigned Medicare billing, Ohio enrollment
26 clinicians in this Medicare group

NPI 1487669222 (419) 756-1717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

69 services27 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.

64 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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.

ERIC LANCASTER

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