HEATHER AVELLONE – Family Nurse Practitioner, NPI 1114499001

HEATHER AVELLONE is a healthcare provider. based in Sandy, Utah. specializing in Family Nurse Practitioner. They hold a License No. 8257 (WI). The NPI Number for HEATHER AVELLONE is 1114499001

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER AVELLONE
NPI
1114499001
Phone
(801) 352-9500
Address
PO BOX 708760
Enumeration Date
18 December 2018
Last Update Date
18 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202614210
Graduation Year
2017 (9 years ago)
PAC ID
8527304443
Group Practice PAC ID
2365677952
Professional Enrollment ID
I20190115001037
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for HEATHER AVELLONE

  • Box Avenue, Sandy Point, Shire of South Gippsland, Victoria, Australia

    SANDY, UT 840708760

    Phone: (801) 352-9500

    Fax: (801) 352-7976

    Type: Mailing

  • Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States

    WAUKESHA, WI 531885031

    Phone: (262) 928-5400

    Fax: (262) 928-6140

    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: 2019-01-15

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
I20190115001037INurse PractitionerWITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 84070)

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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: 2365677952View full group profile
NameSpecialtyState
Internal MedicineWI
Nurse PractitionerWI
-UT
Internal MedicinePA
Hospitalist, Internal MedicineGA
Internal MedicinePUNJAB
Family PracticeND
Internal MedicineNY
Internal MedicineOH
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for HEATHER AVELLONE?
HEATHER AVELLONE — NPI 1114499001 — is the standard way to identify this listing.
Does CMS list HEATHER AVELLONE as active?
Yes — HEATHER AVELLONE is active in the NPI listing used on this page.
What is HEATHER AVELLONE best known for clinically?
Directory data describes HEATHER AVELLONE with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for HEATHER AVELLONE?
HEATHER AVELLONE's geographic hint is Sandy, Utah in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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