Heather James, P.A.-C
NPI 1922114347 · Physician Assistant · Sheboygan, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather James, P.A.-C is a Physician Assistant provider in Sheboygan, WI (NPI 1922114347).
Provider details
- NPI number
- 1922114347
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1822 (WI)
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 tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
318 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 263 | $102 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 55 | $61 |
Typical Medicare-allowed amounts for these services range $61–$102 (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 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 177 | 74 |
| Furosemide | 166 | 66 |
| Spironolactone | 120 | 47 |
| Empagliflozinbrand: Jardiance | 116 | 34 |
| Amlodipine Besylate | 101 | 31 |
| Apixabanbrand: Eliquis | 90 | 25 |
| Losartan Potassium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Frequently asked questions
- What is Heather James's NPI number?
- Heather James's National Provider Identifier (NPI) is 1922114347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather James's specialty?
- Heather James is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heather James located?
- Heather James's practice location on file with NPPES is 3400 Union Ave, Sheboygan, WI 53081-8426.
- What is Heather James's phone number?
- The practice phone number listed in the NPPES registry for Heather James is (920) 828-2700.
- Does Heather James accept Medicare?
- Heather James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather James's NPI active?
- Yes — Heather James's NPI (1922114347) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.