Andrea Wilson Heller, D.O.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

OS018275 Issued in PA

Practice address

1001 E 2ND St
Coudersport, PA 16915-8161

Phone

(814) 274-5276

NPI assigned

May 15, 2012

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles Cole Memorial HospitalGroup PAC ID 3779487475, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
• Family Hospice Hospice, Williamsport, PA, CCN 391513
• Upmc Cole Hospital, Coudersport, PA, CCN 391313

Merit-based Incentive Payment System (MIPS)

Final score

83.69 of 100Reported as group

Quality

75.14

Promoting interoperability

100

Improvement activities

40

Cost

70.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aheller115254@upmc.direct-ci.com
• Direct secure messaging: andrea.w.heller@upmcdirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Upmc Home Healthcare of Central Pennsylvania

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Williamsport, PA
  • NPI 1134614621

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles Cole Memorial Hospital

  dba UPMC Cole

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Medicare reassignment Care Compare group NPD
• Charles Cole Memorial Hospital

  dba CCMH Urology

  • Urology Physician
  • Coudersport, PA
  • NPI 1760608061
  NPD
• Charles Cole Memorial Hospital D/B/a Upmc Cole

  • Dentist
  • Coudersport, PA
  • NPI 1548618853
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554

  Hospital

  Care Compare affiliation
• Charles Cole Memorial Hospital

  dba UPMC Cole

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Care Compare affiliation
• Upmc Home Healthcare of Central Pennsylvania

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Williamsport, PA
  • NPI 1134614621
  Care Compare affiliation
• Upmc Home Healthcare of Central Pennsylvania

  dba Susquehanna Home Care and Hospice Services

  • Home Health Agency
  • Williamsport, PA
  • NPI 1881189256
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1205195054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-5276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Elk St",
            "address_purpose": "LOCATION",
            "city": "Coudersport",
            "state": "PA",
            "postal_code": "169159601",
            "country_code": "US",
            "telephone_number": "814-274-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ANDREA",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "OS018275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.w.heller@upmcdirect.com",
            "affiliation": "Y",
            "endpointDescription": "UPMC Cole",
            "affiliationName": "Charles Cole Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 E 2nd St",
            "city": "Coudersport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "169158161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hospice and Palliative Medicine (Family Medicine) Physician in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.