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KAITLYN HEFFREN FNP-C
NPI 1982480638
Nurse Practitioner - Family in Bloomington, IL

Active since September 07, 2023PECOS Enrolled
1603 TULLAMORE AVE STE A, BLOOMINGTON, IL 61704(309) 808-6407(309) 807-5478 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaitlyn Heffren Fnp-c NPPES

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

KAITLYN HEFFREN FNP-C (NPI 1982480638) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209.027996) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982480638
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN HEFFRENCredential: FNP-C
Location Address1603 TULLAMORE AVE STE ABloomington, IL 61704-9623
Mailing Address1603 Tullamore Ave Ste ABloomington, IL 61704-9623 · (309) 808-6407
Phone(309) 808-6407
Fax(309) 807-5478
Sole ProprietorNo
Enumeration DateSeptember 7, 2023
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1982480638 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 IL · 209.027996
1603 TULLAMORE AVE STE A, Bloomington, IL 61704
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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)

Kaitlyn Heffren Fnp-c 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 Kaitlyn Heffren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mycare Express Care Inc
2.9 mi
Specialist
1404 EASTLAND DR STE 103
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1396464657 (309) 319-2393
Osf Multi-Specialty Group
46 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 2

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

CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
Family Medicine
1603 TULLAMORE AVE STE A
BLOOMINGTON, IL 61704
McLean County (309) 808-6407
JENI LYNN ZOLFAGHARI APN, CNP
Nurse Practitioner
1603 TULLAMORE AVE STE A
BLOOMINGTON, IL 61704
McLean County (309) 808-6407

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 Kaitlyn Heffren's NPI number?

The NPI number for Kaitlyn Heffren is 1982480638. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Kaitlyn Heffren located?

Kaitlyn Heffren practices at 1603 Tullamore Ave Ste A, Bloomington, IL 61704. The listed phone number is (309) 808-6407.

What is Kaitlyn Heffren's specialty?

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

Is Kaitlyn Heffren enrolled in Medicare?

Yes. Kaitlyn Heffren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaitlyn Heffren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Heffren reassigns Medicare benefits to 2 organizations: Mycare Express Care Inc (Bloomington, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Kaitlyn Heffren'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 Kaitlyn Heffren was last updated on March 26, 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.