HEATHER A TELLER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366154957

HEATHER A TELLER (PMHNP-BC) is a healthcare provider. based in Gloucester, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 0024185805 (VA). The NPI Number for HEATHER A TELLER (PMHNP-BC) is 1366154957

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER A TELLER (PMHNP-BC)
NPI
1366154957
Phone
(804) 854-1003
Address
5372 WILLIAM EARL WAY
Enumeration Date
15 December 2022
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578271001
Graduation Year
2022 (4 years ago)
PAC ID
6608222732
Group Practice PAC ID
5092608448
Professional Enrollment ID
I20231026000975
Address ID
VA236662430HA2244XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for HEATHER A TELLER (PMHNP-BC)

  • 5372 WILLIAM EARL WAY

    GLOUCESTER, VA 230613602

    Phone: (804) 854-1003

    Type: Mailing

  • 2244 EXECUTIVE DR

    HAMPTON, VA 236662430

    Phone: (757) 827-1001

    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: 2023-10-26

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
I20231026000975INurse PractitionerVATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5822$0
99239Hospital discharge day management, more than 30 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 23061)

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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: 5092608448View full group profile

Reviews

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Frequently asked questions

What identifier follows HEATHER A TELLER (PMHNP-BC) across health systems?
The NPI 1366154957 uniquely identifies HEATHER A TELLER (PMHNP-BC) in U.S. healthcare data.
Does the public listing show HEATHER A TELLER (PMHNP-BC) as active?
HEATHER A TELLER (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say HEATHER A TELLER (PMHNP-BC) does?
Insurance directories may phrase it differently, but here HEATHER A TELLER (PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit HEATHER A TELLER (PMHNP-BC) in Gloucester, Virginia?
For routing, start with Gloucester, Virginia for HEATHER A TELLER (PMHNP-BC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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