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STEPHEN M HEFFNER CRNP
NPI 1962956276
Nurse Practitioner - Psychiatric/Mental Health in Lancaster, PA

Active since August 04, 2016PECOS Enrolled
1929 LINCOLN HIGHWAY E, LANCASTER, PA 17602(717) 947-6535(717) 390-1970 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2020, Oct 10, 2016, Aug 22, 2016 (3 updates tracked since 2016).

About Stephen M Heffner Crnp NPPES

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

STEPHEN M HEFFNER CRNP (NPI 1962956276) is an individual psychiatric/mental health provider in Lancaster, Pennsylvania, licensed in Pennsylvania (SP016430) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962956276
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHEN M HEFFNERCredential: CRNP
Location Address1929 LINCOLN HIGHWAY ELancaster, PA 17602
Mailing Address1929 Lincoln Highway ELancaster, PA 17602 · (717) 947-6535 · Fax (717) 390-1970
Phone(717) 947-6535
Fax(717) 390-1970
Sole ProprietorNo
Enumeration DateAugust 4, 2016
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedJune 22, 2020
✔ NPI 1962956276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP016430
Also ListedRegistered NurseTaxonomy 163W00000X · License RN685205 (PA)
1929 LINCOLN HIGHWAY E, Lancaster, PA 17602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen M Heffner Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Stephen Heffner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lancaster General Medical Group
0.3 mi
Clinic/Center
2034 LINCOLN HWY E
Lancaster, PA 17602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1336470483 (717) 735-2302
Community Services Group, Inc.
9.4 mi
Community/Behavioral Health
320 HIGHLAND DR
Mountville, PA 17554
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1265426084 (717) 285-7121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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.

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 Stephen Heffner's NPI number?

The NPI number for Stephen Heffner is 1962956276. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Stephen Heffner located?

Stephen Heffner practices at 1929 Lincoln Highway E, Lancaster, PA 17602. The listed phone number is (717) 947-6535.

What is Stephen Heffner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephen Heffner enrolled in Medicare?

Yes. Stephen Heffner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Heffner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Heffner reassigns Medicare benefits to 2 organizations: Lancaster General Medical Group (Lancaster, PA) and Community Services Group, Inc. (Mountville, PA). 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 Stephen Heffner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Heffner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stephen Heffner 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.

When was this NPI record last updated?

The NPPES record for Stephen Heffner was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.