HEATHER BREANN FENWICK - NPI 1992518823 - Nurse Practitioner in Campbellsville, KY

Q: What is Heather Fenwick's NPI number?

The NPI number for Heather Fenwick is 1992518823. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Q: What is Heather Fenwick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Fenwick was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Heather Breann Fenwick NPPES

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

HEATHER BREANN FENWICK (NPI 1992518823) is an individual psychiatric/mental health provider in Campbellsville, Kentucky, licensed in Kentucky (4034545) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992518823

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHEATHER BREANN FENWICK

Location Address106 WINSTON WAYCampbellsville, KY 42718-4953

Mailing Address2422 Cissellville RdSpringfield, KY 40069-8301 · (859) 475-3999

Phone(270) 789-0034

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1992518823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 4034545

106 WINSTON WAY, Campbellsville, KY 42718

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Other Names 1

Former Name (1)Heather Breann Hasty

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Breann Fenwick 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 ID749704757

PECOS Enrollment IDI20250411001862

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 42718 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 9

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

PERRY DAVIS BABCOCK APRN

Nurse Practitioner (Family)