MISS HEATHER MARIE CALDWELL (PA-C) – Physician Assistant, NPI 1376100883

MISS HEATHER MARIE CALDWELL (PA-C) is a healthcare provider. based in Alturas, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 56788 (CA). The NPI Number for MISS HEATHER MARIE CALDWELL (PA-C) is 1376100883

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MISS HEATHER MARIE CALDWELL (PA-C)
NPI
1376100883
Phone
(530) 233-7052
Address
228 WEST MCDOWELL AVENUE
Enumeration Date
21 May 2019
Last Update Date
21 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
8820324726
Group Practice PAC ID
2466447412
Professional Enrollment ID
I20190731000314
Address ID
CA961013840AL1111XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MISS HEATHER MARIE CALDWELL (PA-C)

  • Modoc Medical Center, 228, West McDowell Avenue, Alturas, Modoc County, California, 96101, United States

    ALTURAS, CA 96101

    Phone: (530) 233-7052

    Fax: (530) 233-4302

    Type: Mailing

  • 229, West McDowell Avenue, Alturas, Modoc County, California, 96101, United States

    ALTURAS, CA 96101

    Phone: (530) 233-7052

    Fax: (530) 233-4302

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190731000314IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466447412View full group profile
NameSpecialtyState
-CA
-CA
Family PracticeFL
Internal MedicineCA
Nurse PractitionerCA
Physician AssistantCA
General Surgery, GastroenterologyNY
Family PracticeNC
Family Practice, Emergency MedicineCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Where can patients find MISS HEATHER MARIE CALDWELL (PA-C)'s NPI?
You can confirm MISS HEATHER MARIE CALDWELL (PA-C) with NPI 1376100883; it appears in the national provider directory.
Is MISS HEATHER MARIE CALDWELL (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MISS HEATHER MARIE CALDWELL (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MISS HEATHER MARIE CALDWELL (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MISS HEATHER MARIE CALDWELL (PA-C)?
The page summarizes Alturas, California for MISS HEATHER MARIE CALDWELL (PA-C); expand the address list for detail.
Is MISS HEATHER MARIE CALDWELL (PA-C) a real provider?
This page reflects official NPPES data for NPI 1376100883. Always confirm identity and privileges with the practice and licensing boards.

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