HEIDI N SCHRADER NP
NPI 1972254290
Nurse Practitioner - Adult Health in Port Jefferson, NY

Q: What is Heidi Schrader's NPI number?

The NPI number for Heidi Schrader is 1972254290. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Q: What is Heidi Schrader's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Schrader was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 18, 2022PECOS Enrolled

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 275-3589 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Heidi N Schrader Np NPPES

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

HEIDI N SCHRADER NP (NPI 1972254290) is an individual adult health provider in Port Jefferson, New York, licensed in New York (F309332) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972254290

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameHEIDI N SCHRADERCredential: NP

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address533 Coates AveHolbrook, NY 11741-6011

Phone(631) 275-3589

Sole ProprietorNo

Enumeration DateJanuary 18, 2022

NPPES CertifiedJanuary 18, 2022

✔ NPI 1972254290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F309332

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F309332 (NY)

75 N COUNTRY RD, Port Jefferson, NY 11777

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi N Schrader Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

JUSTINA CATHERINE MELLONE DO

Student in an Organized Health Care Education/Training Program