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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Heidi Schrader reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John T. Mather Memorial Hospital
Same address
Psychiatry
75 N COUNTRY RD
Port Jefferson Station, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1467249334 (New York), NPI 1922486182 (New York)
  • 232 clinicians in this Medicare group
NPI 1376642371 (631) 473-1320

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 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
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KATHLEEN FANELLI
Nurse Practitioner (Acute Care)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320

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 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.

Where is Heidi Schrader located?

Heidi Schrader practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 275-3589.

What is Heidi Schrader's specialty?

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

Is Heidi Schrader enrolled in Medicare?

Yes. Heidi Schrader is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Schrader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Schrader reassigns Medicare benefits to John T. Mather Memorial Hospital (Port Jefferson Station, NY). The 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 Heidi Schrader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.