HEATHER JO HUFFMAN FNP
NPI 1922594514
Nurse Practitioner - Family in Lancaster, OH

Active since July 06, 2018PECOS EnrolledAccepts Medicare Assignment
71.23/100
CMS Quality Rating
401 N EWING ST, LANCASTER, OH 43130(740) 687-8000 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2018, Jul 6, 2018 (2 updates tracked since 2018).

About Heather Jo Huffman Fnp NPPES

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

HEATHER JO HUFFMAN FNP (NPI 1922594514) is an individual family provider in Lancaster, Ohio, licensed in Ohio (APRN.CNP.023349) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922594514
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER JO HUFFMANCredential: FNP
Location Address401 N EWING STLancaster, OH 43130
Mailing Address20515 State Route 664 SLogan, OH 43138-8526 · (740) 279-9580
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 6, 2018
Last NPPES UpdateJuly 31, 20182 updates tracked since enumeration
NPI 1922594514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.023349
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.297246 (OH)
401 N EWING ST, Lancaster, OH 43130

Accepted Insurance

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 Jo Huffman Fnp 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 ID3678810538
PECOS Enrollment IDI20190130002291
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 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.

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.
179 services162 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.
25 services24 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
21 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

71.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.72
Promoting Interoperability87
Improvement Activities40
Cost58.69

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
401 N EWING ST, ATTN: COMMUNITY HOSPITALISTS
LANCASTER, OH 43130
Internal Medicine
401 N EWING ST
LANCASTER, OH 43130
Dietitian, Registered
401 N EWING ST
LANCASTER, OH 43130
Dietitian, Registered
401 N EWING ST
LANCASTER, OH 43130
Dietitian, Registered
401 N EWING ST
LANCASTER, OH 43130
Anesthesiology
401 N EWING ST
LANCASTER, OH 43130
Anesthesiology
401 N EWING ST
LANCASTER, OH 43130
Student in an Organized Health Care Education/Training Program
401 N EWING ST
LANCASTER, OH 43130

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 Huffman's NPI number?

The NPI number for Heather Huffman is 1922594514. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Heather Huffman located?

Heather Huffman practices at 401 N Ewing St, Lancaster, OH 43130. The listed phone number is (740) 687-8000.

What is Heather Huffman's specialty?

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

Is Heather Huffman enrolled in Medicare?

Yes. Heather Huffman 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.

What insurance does Heather Huffman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Heather Huffman 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 Huffman affiliated with any hospitals?

According to CMS data, Heather Huffman is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Huffman was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.