LINDSAY HEFNER WHNP
NPI 1912390105
Nurse Practitioner - Women's Health in Williamsburg, VA

Active since March 11, 2015PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
120 KINGS WAY STE 3400, WILLIAMSBURG, VA 23185(757) 253-5600 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 19, 2022, Mar 29, 2016 (2 updates tracked since 2016).

About Lindsay Hefner Whnp NPPES

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

LINDSAY HEFNER WHNP (NPI 1912390105) is an individual women's health provider in Williamsburg, Virginia, licensed in Virginia (0024172228) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2014).

NPPES Registry Identity

NPI1912390105
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLINDSAY HEFNERCredential: WHNP
Location Address120 KINGS WAY STE 3400Williamsburg, VA 23185-2511
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2014
Enumeration DateMarch 11, 2015
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
NPI 1912390105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in VA · 0024172228
120 KINGS WAY STE 3400, Williamsburg, VA 23185

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

Lindsay Hefner Whnp 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 ID143601021
PECOS Enrollment IDI20220725000053
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 6

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 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.
46 services39 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
40 services40 patients
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.
25 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services16 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23185 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

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.

Advanced Practice Midwife
120 KINGS WAY STE 3400
WILLIAMSBURG, VA 23185
Obstetrics & Gynecology
120 KINGS WAY STE 3400
WILLIAMSBURG, VA 23185
Obstetrics & Gynecology
120 KINGS WAY STE 3400
WILLIAMSBURG, VA 23185
Nurse Practitioner (Family)
120 KINGS WAY STE 3400
WILLIAMSBURG, VA 23185

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 Lindsay Hefner's NPI number?

The NPI number for Lindsay Hefner is 1912390105. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Lindsay Hefner located?

Lindsay Hefner practices at 120 Kings Way Ste 3400, Williamsburg, VA 23185. The listed phone number is (757) 253-5600.

What is Lindsay Hefner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Lindsay Hefner enrolled in Medicare?

Yes. Lindsay Hefner 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.

Is Lindsay Hefner affiliated with any hospitals?

According to CMS data, Lindsay Hefner is affiliated with Riverside Regional Medical Center and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Lindsay Hefner was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.