HEATHER MARIE MACPHAIL NP
NPI 1912483603
Nurse Practitioner in Albany, NY

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
2 PALISADES DR, ALBANY, NY 12205(518) 458-2000 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2021, Nov 10, 2020, Apr 23, 2019 and 1 more (4 updates tracked since 2018).

About Heather Marie Macphail Np NPPES

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

HEATHER MARIE MACPHAIL NP (NPI 1912483603) is an individual nurse practitioner in Albany, New York, licensed in New York (343008) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1912483603
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER MARIE MACPHAILCredential: NP
Location Address2 PALISADES DRAlbany, NY 12205-1438
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 16, 2018
Last NPPES UpdateMay 21, 20214 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1912483603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 343008
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 343008 (NY)
2 PALISADES DR, Albany, NY 12205

Other Names 1

Former Name (1)Heather Riordan Fnp

Secondary Practice Locations 4

Location 1855 Route 146Clifton Park, NY 12065-3885 · Phone (518) 458-2000
Location 2156 Quaker RdQueensbury, NY 12804-1718 · Phone (518) 458-2000
Location 32 New Hampshire Ave Ste 200Troy, NY 12180-1762 · Phone (518) 458-2000
Location 41735 Route 9Halfmoon, NY 12065-2421 · Phone (518) 458-2000

Other Identifiers 1

Medicaid05351813NY

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

Heather Marie Macphail Np 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 ID4284986506
PECOS Enrollment IDI20181015000630
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
191 services183 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.
157 services153 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
62 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services37 patients
Evaluation of implantable heart and blood vessel monitoring system 93290
An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.
49 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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.

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.

Internal Medicine (Cardiovascular Disease)
2 PALISADES DR
ALBANY, NY 12205
Nurse Practitioner (Acute Care)
2 PALISADES DR
ALBANY, NY 12205
Nurse Practitioner (Family)
2 PALISADES DR
ALBANY, NY 12205
Physician Assistant (Medical)
2 PALISADES DR
ALBANY, NY 12205
Internal Medicine (Clinical Cardiac Electrophysiology)
2 PALISADES DR
ALBANY, NY 12205
Internal Medicine (Cardiovascular Disease)
2 PALISADES DR
ALBANY, NY 12205
Student in an Organized Health Care Education/Training Program
2 PALISADES DR
ALBANY, NY 12205
Nurse Practitioner (Adult Health)
2 PALISADES DR
ALBANY, NY 12205

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 Macphail's NPI number?

The NPI number for Heather Macphail is 1912483603. It was assigned to this individual provider in the NPPES registry on July 16, 2018. The provider is also known as Heather Riordan Fnp.

Where is Heather Macphail located?

Heather Macphail practices at 2 Palisades Dr, Albany, NY 12205. The listed phone number is (518) 458-2000.

What is Heather Macphail's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Macphail enrolled in Medicare?

Yes. Heather Macphail 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 Heather Macphail affiliated with any hospitals?

According to CMS data, Heather Macphail is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Heather Macphail was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.