Individual provider Active NPI

Heather Michelle Hershberger, APRN, FNP-C

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1417504564
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN110027435 Issued in FL
Practice address
3347 S State Road 7 Ste 101
Wellington, FL 33449-8148
Phone
(561) 790-2111
NPI assigned
Aug 23, 2019
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN110027435 FL Primary

Addresses

Primary practice location

3347 S State Road 7 Ste 101
Wellington, FL 33449-8148

Mailing address

1800 SW Hackman Ter
Stuart, FL 34997-7006

Other practice location 1

1800 SW Hackman Ter
Stuart, FL 34997-7006
Phone (772) 260-2767

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HHershberger@pburology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309002698 FL Practitioner - Nurse Practitioner 6406187798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

3347 S State Rd
7 Suite 101
Wellington, FL 33449-8148
Phone (561) 790-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN110027435FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Single Specialty Current Accepting new patients
Genesiscare USA of Florida LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Genesiscare USA of Florida LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients

Locations

1100 S Main St
Belle Glade, FL 33430
Phone (561) 996-4242

8198 S Jog Rd
Ste 209
Boynton Beach, FL 33472
Phone (561) 790-2111

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

1620 S Congress Ave
Ste 202
Palm Springs, FL 33461
Phone (561) 790-2111

3347 S State Road 7
Ste 101
Wellington, FL 33449
Phone (561) 790-2111

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hhershberger@pburology.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1417504564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW HACKMAN TER",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 S STATE ROAD 7 STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498148",
            "telephone_number": "561-790-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SW Hackman Ter",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349977006",
            "country_code": "US",
            "telephone_number": "772-260-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN110027435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HHershberger@pburology.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3347 S State Road 7 Ste 101",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334498148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.