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HEATHER LYNN MAGGIO FNP
NPI 1922634757
Nurse Practitioner - Family in Latham, NY

Active since March 12, 2020PECOS EnrolledAccepts Medicare Assignment
711 TROY SCHENECTADY RD STE 202, LATHAM, NY 12110(518) 782-3938(518) 782-3995 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2021, Apr 1, 2021, Mar 12, 2020 (3 updates tracked since 2020).

About Heather Lynn Maggio Fnp NPPES

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

HEATHER LYNN MAGGIO FNP (NPI 1922634757) is an individual family provider in Latham, New York, licensed in New York (F345645) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1922634757
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER LYNN MAGGIOCredential: FNP
Location Address711 TROY SCHENECTADY RD STE 202Latham, NY 12110-2461
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Phone(518) 782-3938
Fax(518) 782-3995
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 12, 2020
Last NPPES UpdateMay 21, 20213 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1922634757 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 NY · F345645
711 TROY SCHENECTADY RD STE 202, Latham, NY 12110
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11300 Massachusetts Avenue,, Hildegard Medicus Cancer CenterTroy, NY 12180 · Phone (518) 268-5060
Location 21 Tallow Wood DrClifton Park, NY 12065-2807 · Phone (518) 268-5060
Location 3317 S Manning Blvd Ste 220Albany, NY 12208-3909 · Phone (518) 525-6418

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

Heather Lynn Maggio 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 ID5294164158
PECOS Enrollment IDI20200330000493
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

2

Medicare enrollment records show Heather Maggio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peters Hospital Of The City Of Albany
5.5 mi
General Acute Care Hospital
1 PINE WEST PLAZA, SLEEP THERAPY EQUIPMENT
Albany, NY 12205
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
NPI 1689749640 (518) 275-4090
Samaritan Hospital Of Troy, New York
5.6 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

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 2

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 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.
420 services149 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.
70 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims12 services$18.45 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims13 services$35.94 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier13 claims123 services$1.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEXANDER ELY NICHOLSON NPP
Nurse Practitioner (Psychiatric/Mental Health)
711 TROY SCHENECTADY RD STE 202
LATHAM, NY 12110
Albany County (518) 782-3703
RONNY KAFILUDDI M.D., PHD
Pain Medicine (Pain Medicine)
711 TROY SCHENECTADY RD STE 202
LATHAM, NY 12110
Albany County (518) 782-3938

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 Maggio's NPI number?

The NPI number for Heather Maggio is 1922634757. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Heather Maggio located?

Heather Maggio practices at 711 Troy Schenectady Rd Ste 202, Latham, NY 12110. The listed phone number is (518) 782-3938.

What is Heather Maggio's specialty?

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

Is Heather Maggio enrolled in Medicare?

Yes. Heather Maggio 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 Maggio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Maggio reassigns Medicare benefits to 2 organizations: St. Peters Hospital Of The City Of Albany (Albany, NY) and Samaritan Hospital Of Troy, New York (Troy, NY). 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 Maggio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heather Maggio affiliated with any hospitals?

According to CMS data, Heather Maggio is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Heather Maggio was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.