Heather Baum
NPI 1396269742 · Nurse Practitioner · West Reading, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Baum is a Nurse Practitioner provider in West Reading, PA (NPI 1396269742).
Provider details
- NPI number
- 1396269742
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP017907 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 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
81 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 67 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $53 |
Typical Medicare-allowed amounts for these services range $53–$75 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 96 | 25 |
| Topiramate | 78 | 20 |
| Dulaglutidebrand: Trulicity | 73 | 18 |
| Metformin Hclbrand: Metformin Hcl Er | 56 | 14 |
| Tirzepatidebrand: Mounjaro | 50 | — |
| Omeprazole | 38 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,253 across 18 records (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
- 2017-07-27
- Last updated
- 2017-09-27
Frequently asked questions
- What is Heather Baum's NPI number?
- Heather Baum's National Provider Identifier (NPI) is 1396269742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Baum's specialty?
- Heather Baum is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heather Baum located?
- Heather Baum's practice location on file with NPPES is 420 S 5th Ave, West Reading, PA 19611-2143.
- What is Heather Baum's phone number?
- The practice phone number listed in the NPPES registry for Heather Baum is (484) 628-5455.
- Does Heather Baum accept Medicare?
- Heather Baum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Baum's NPI active?
- Yes — Heather Baum's NPI (1396269742) is active in the NPPES registry as of the last update on 2017-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.