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HEATHER CHRISTINE BAUERLE FNP
NPI 1942811336
Nurse Practitioner - Family in Albany, NY

Active since August 11, 2020PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
19 WAREHOUSE ROW, ALBANY, NY 12205(518) 525-1629(518) 525-6800 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Sep 28, 2020, Aug 25, 2020 and 1 more (4 updates tracked since 2020).

About Heather Christine Bauerle Fnp NPPES

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

HEATHER CHRISTINE BAUERLE FNP (NPI 1942811336) is an individual family provider in Albany, New York, licensed in New York (346410) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942811336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER CHRISTINE BAUERLECredential: FNP
Location Address19 WAREHOUSE ROWAlbany, NY 12205-5756
Mailing AddressPo Box 14890Albany, NY 12212-4890 · Fax (518) 649-4094
Phone(518) 525-1629
Fax(518) 525-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 11, 2020
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1942811336 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 · 346410
19 WAREHOUSE ROW, Albany, NY 12205
Open in Google Maps ↗

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 Christine Bauerle 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 ID8224448725
PECOS Enrollment IDI20201112001947
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

3

Medicare enrollment records show Heather Bauerle reassigns Medicare billing to 3 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
1.9 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
Albany Medical College
4.2 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
Ellis Hospital
9.3 mi
General Acute Care Hospital
1101 NOTT ST
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 462 clinicians in this Medicare group
NPI 1487644993 (518) 243-4000

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 8

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.
99 services95 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.
74 services71 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 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.
27 services27 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.
23 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady 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.

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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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 Bauerle's NPI number?

The NPI number for Heather Bauerle is 1942811336. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Heather Bauerle located?

Heather Bauerle practices at 19 Warehouse Row, Albany, NY 12205. The listed phone number is (518) 525-1629.

What is Heather Bauerle's specialty?

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

Is Heather Bauerle enrolled in Medicare?

Yes. Heather Bauerle 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 Bauerle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Bauerle reassigns Medicare benefits to 3 organizations: St. Peters Hospital Of The City Of Albany (Albany, NY), Albany Medical College (Albany, NY) and Ellis Hospital (Schenectady, 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 Bauerle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heather Bauerle affiliated with any hospitals?

According to CMS data, Heather Bauerle is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Heather Bauerle was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.