Individual provider Active NPI

Heather Ann Braucher, ANP-BC

  • Adult Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1841523479
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5011383 Issued in NC
Practice address
411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Phone
(704) 577-3186
Fax
(704) 626-2701
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 22408 SC
Adult Health Nurse Practitioner 363LA2200X 5011383 NC Primary

Addresses

Primary practice location

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066

Mailing address

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Phone (704) 577-3186

Other practice location 1

7845 Little Ave
Charlotte, NC 28226-8198
Phone (704) 375-0100

Other identifiers 1

IdentifierTypeStateIssuer
3108578MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.braucher.1@17840.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190320003196 NC Practitioner - Nurse Practitioner 7911035639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Billingsley Rd
Suite 108
Charlotte, NC 28211-3091

Charlotte Neuroscience Foundation
300 Billingsley Rd Suite 108
Charlotte, NC 28211-3091

PO Box
Suite 470408
Charlotte, NC 28247

Merit-based Incentive Payment System (MIPS)

Final score
89.92 of 100Reported as group
Quality
87.1
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Neuroscience Foundation CurrentSince Aug 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

300 Billingsley Rd
Ste 108
Charlotte, NC 28211
Phone (704) 577-3186

411 Billingsley Rd
Ste 103
Charlotte, NC 28211
Phone (704) 344-1995

Interoperability endpoints

  • Direct secure messaging: heather.braucher.1@17840.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1841523479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186",
            "fax_number": "704-626-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186",
            "fax_number": "704-626-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 Little Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268198",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "fax_number": "704-887-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUCHER",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "22408",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5011383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108578",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.braucher.1@17840.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "411 Billingsley Rd Ste 103",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.