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MRS. MARIE-PAULE SIMONE HEYLEN ANP-C
NPI 1891042644
Nurse Practitioner - Adult Health in Potsdam, NY

Active since August 11, 2012PECOS Enrolled
0/100
CMS Quality Rating
6805 US HIGHWAY 11, POTSDAM, NY 13676(315) 265-3105(315) 265-0323 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Marie-paule Simone Heylen Anp-c NPPES

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

MRS. MARIE-PAULE SIMONE HEYLEN ANP-C (NPI 1891042644) is an individual adult health provider in Potsdam, New York, licensed in New York (F306058-1) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891042644
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MARIE-PAULE SIMONE HEYLENCredential: ANP-C
Location Address6805 US HIGHWAY 11Potsdam, NY 13676-3131
Mailing Address6805 Us Highway 11Potsdam, NY 13676-3131 · (315) 265-3105 · Fax (315) 265-0323
Phone(315) 265-3105
Fax(315) 265-0323
Sole ProprietorNo
Enumeration DateAugust 11, 2012
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1891042644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F306058-1
6805 US HIGHWAY 11, Potsdam, NY 13676
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Other Identifiers 2

Medicare UPIN56913ANY
Medicaid03497023NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marie-paule Simone Heylen Anp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
141 services113 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
120 services106 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
65 services18 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
61 services32 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
61 services53 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
31 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 4

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

HOSPICE AND PALLIATIVE CARE OF ST. LAWRENCE VALLEY, INC
In Home Supportive Care
6805 US HIGHWAY 11
POTSDAM, NY 13676
St. Lawrence County (315) 265-3105
HOSPICE OF ST LAWRENCE VALLEY INC
Hospice Care, Community Based
6805 US HIGHWAY 11
POTSDAM, NY 13676
St. Lawrence County (315) 265-3105
ALISON GRABOWSKI NP
Nurse Practitioner (Adult Health)
6805 US HIGHWAY 11
POTSDAM, NY 13676
St. Lawrence County (315) 265-3105
GOE IPA, INC.
Internal Medicine (Hospice and Palliative Medicine)
6805 US HIGHWAY 11
POTSDAM, NY 13676
St. Lawrence County (315) 265-3105

Frequently Asked Questions

What is Marie-paule Heylen's NPI number?

The NPI number assigned to this healthcare provider is 1891042644, enumerated as an "individual" on August 11, 2012.

Where is the provider located?

The provider is located at 6805 US HIGHWAY 11 POTSDAM, NY 13676 and the phone number is (315) 265-3105.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

What insurance does Marie-paule Heylen accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.