Heather Elmgren, APRN
NPI 1265001507 · Family Nurse Practitioner · Middletown, CT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Elmgren, APRN is a Family Nurse Practitioner provider in Middletown, CT (NPI 1265001507).
Provider details
- NPI number
- 1265001507
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 10854 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
882 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 413 | $94 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 245 | $65 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 72 | $134 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 70 | $35 |
| Nursing Facility Discharge Management, More Than 30 Minutes99316 | 31 | $114 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 86 | 33 |
| Oxycodone Hcl | 66 | 14 |
| Sitagliptin Phosphatebrand: Januvia | 63 | — |
| Atorvastatin Calcium | 52 | 15 |
| Furosemide | 44 | 16 |
| Amlodipine Besylate | 41 | 17 |
| Tramadol Hcl | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Heather Elmgren's NPI number?
- Heather Elmgren's National Provider Identifier (NPI) is 1265001507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Elmgren's specialty?
- Heather Elmgren is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heather Elmgren located?
- Heather Elmgren's practice location on file with NPPES is 101 Centerpoint Dr, Middletown, CT 06457-7568.
- What is Heather Elmgren's phone number?
- The practice phone number listed in the NPPES registry for Heather Elmgren is (888) 888-8888.
- Does Heather Elmgren accept Medicare?
- Heather Elmgren is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Elmgren's NPI active?
- Yes — Heather Elmgren's NPI (1265001507) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.