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: August 09, 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
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

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 7

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.

Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
51 services51 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
33 services30 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.
24 services24 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.
22 services18 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
18 services17 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
17 services17 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.

Internal Medicine (Hospice and Palliative Medicine)
6805 US HIGHWAY 11
POTSDAM, NY 13676
In Home Supportive Care
6805 US HIGHWAY 11
POTSDAM, NY 13676
Hospice Care, Community Based
6805 US HIGHWAY 11
POTSDAM, NY 13676
Nurse Practitioner (Adult Health)
6805 US HIGHWAY 11
POTSDAM, NY 13676

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 Marie-paule Heylen's NPI number?

The NPI number for Marie-paule Heylen is 1891042644. It was assigned to this individual provider in the NPPES registry on August 11, 2012.

Where is Marie-paule Heylen located?

Marie-paule Heylen practices at 6805 Us Highway 11, Potsdam, NY 13676. The listed phone number is (315) 265-3105.

What is Marie-paule Heylen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marie-paule Heylen enrolled in Medicare?

Yes. Marie-paule Heylen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marie-paule Heylen was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.