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MS. HEATHER DAWN KOVALICK FNP-BC
NPI 1912538216
Nurse Practitioner - Family in Du Bois, PA

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 371-2200 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2025, Mar 24, 2020, Jan 27, 2020 (3 updates tracked since 2020).

About Ms. Heather Dawn Kovalick Fnp-bc NPPES

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

MS. HEATHER DAWN KOVALICK FNP-BC (NPI 1912538216) is an individual family provider in Du Bois, Pennsylvania, licensed in Pennsylvania (SP021441) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in Clearfield.

NPPES Registry Identity

NPI1912538216
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. HEATHER DAWN KOVALICKCredential: FNP-BC
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 371-2200
Phone(814) 371-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 27, 2020
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1912538216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP021441
100 HOSPITAL AVE, Du Bois, PA 15801
Open in Google Maps ↗

Secondary Practice Location 1

Location 1809 Turnpike AveClearfield, PA 16830-1232 · Phone (814) 765-5341

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Wellmark Health Plan of Iowa, Inc..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

Ms. Heather Dawn Kovalick Fnp-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 ID6002247442
PECOS Enrollment IDI20200519000640, I20250331000391
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

5

Medicare enrollment records show Heather Kovalick reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ahn Hospitalist Group, Ltd
61 mi
Internal Medicine
1301 CARLISLE ST
Natrona Heights, PA 15065
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 100 clinicians in this Medicare group
NPI 1770984304 (724) 224-5100
Apogee Medical Group Ohio Inc
117 mi
Internal Medicine
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 272 clinicians in this Medicare group
NPI 1477500999 (440) 997-6328
Apogee Medical Group Of Pennsylvania PC
1,884 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 clinicians in this Medicare group
NPI 1568633535 (972) 269-1907
Apogee Medical Group Iowa PC
1,884 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Iowa enrollment
  • 62 clinicians in this Medicare group
NPI 1689856825 (602) 778-3600
Apogee Medical Group North Carolina
1,884 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, North Carolina enrollment
  • 278 clinicians in this Medicare group
NPI 1043518228 (602) 778-3600

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
224 services98 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services89 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services65 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

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.

SUSAN M. MITCHELL CRNP
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3770
NICHOLAS E SIPES PA-C
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3261
NICHOLE ELISE ANDERSON FNP-C
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3770
RAINTREE MRI SERVICES INC
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 371-1784
DR. PAUL J VALIGORSKY II M.D.
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3034
ZEKE DAVID FEYOCK
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-6440
RHONDA K MCCONNELL BSN, RN
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3890
BRANDY DANIELLE HETRICK NP
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 371-2200

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 Kovalick's NPI number?

The NPI number for Heather Kovalick is 1912538216. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Heather Kovalick located?

Heather Kovalick practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 371-2200.

What is Heather Kovalick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Kovalick enrolled in Medicare?

Yes. Heather Kovalick 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.

Which organizations bill Medicare for Heather Kovalick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Kovalick reassigns Medicare benefits to 5 organizations: Ahn Hospitalist Group, Ltd (Natrona Heights, PA), Apogee Medical Group Ohio Inc (Ashtabula, OH), Apogee Medical Group Of Pennsylvania PC (Scottsdale, AZ), Apogee Medical Group Iowa PC (Scottsdale, AZ) and Apogee Medical Group North Carolina (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Kovalick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Kovalick accept?

Health plans from Cigna Healthcare and Wellmark Health Plan of Iowa, Inc. list Heather Kovalick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Kovalick affiliated with any hospitals?

According to CMS data, Heather Kovalick is affiliated with Onslow Memorial Hospital, Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Heather Kovalick was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.