MRS. HEATHER NICOLE SELF (FNP-BC) – Nurse Practitioner, NPI 1336611714

MRS. HEATHER NICOLE SELF (FNP-BC) is a healthcare provider. based in Byron, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN232828 (GA). The NPI Number for MRS. HEATHER NICOLE SELF (FNP-BC) is 1336611714

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HEATHER NICOLE SELF (FNP-BC)
NPI
1336611714
Phone
(478) 956-7886
Address
338 VENTURA DR
Enumeration Date
22 December 2018
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787455455
Graduation Year
2018 (8 years ago)
PAC ID
2163763756
Group Practice PAC ID
3173511334
Professional Enrollment ID
I20190409000626
Address ID
GA312013297MA640XXBLVD602
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for MRS. HEATHER NICOLE SELF (FNP-BC)

  • 338 VENTURA DR

    BYRON, GA 310088752

    Phone: (478) 956-7886

    Type: Mailing

  • 657, Hemlock Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312018329

    Phone: (478) 334-1220

    Type: Location

  • 640 MARTIN LUTHER KING JR BLVD STE 200

    MACON, GA 312013297

    Phone: (478) 745-5455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 175 Open Payments records for all available years, with a total value of $4,620.

Total Amount is formed as General ($4,620) + Research ($0) + Ownership ($0) = $4,620.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($787).

Total Amount

$4,620

General + Research + Ownership

Payments

175

Total payment records

General Amount

$4,620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-09

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
I20190409000626INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,740200$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days1,261206$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes1,227213$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes455100$0
99214Established patient office or other outpatient visit, 30-39 minutes6862$0
View full utilization report →

Insurance plans in this area (ZIP 31008)

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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: 3173511334View full group profile
NameSpecialtyState
Nephrology, Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA
Physician AssistantGA
-GA
-GA

Reviews

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Frequently asked questions

Where can patients find MRS. HEATHER NICOLE SELF (FNP-BC)'s NPI?
You can confirm MRS. HEATHER NICOLE SELF (FNP-BC) with NPI 1336611714; it appears in the national provider directory.
Is MRS. HEATHER NICOLE SELF (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MRS. HEATHER NICOLE SELF (FNP-BC) treat or focus on?
Patients typically see MRS. HEATHER NICOLE SELF (FNP-BC) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. HEATHER NICOLE SELF (FNP-BC) practice in Georgia?
You will see Byron, Georgia on file for MRS. HEATHER NICOLE SELF (FNP-BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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