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Active NPI 1396269742 Individual Practitioner Female Practitioner

Heather Baum

Nurse Practitioner • West Reading, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Baum is a certified Nurse Practitioner practicing in West Reading, PA. With approximately 9 years of clinical experience since completing medical education in 2017, Heather Baum delivers high-quality medical care to the local community at 420 S 5TH AVE.

Heather Baum is affiliated with Reading Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 S 5th Ave

West Reading, PA 196112143

Telephone 4846285455
Associated Practice Facility / Clinic
🏢 Tower Health Medical Group Facility NPI 1447272224

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in West Reading, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.4 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
37 Specialists

Practicing in West Reading, PA (3955 Statewide)

Telehealth Adoption Rate
18.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baum (9 Years) 9 Yrs
West Reading Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 43 $235.99 $75.31
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $170.00 $53.33

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP017907

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Medical-Surgical

NUCC Taxonomy Code: 163WM0705X

State License PA RN587997

Definition to come...

Hospital & Practice Group Affiliations

Reading Hospital

1220 Broadcasting Rd, Wyomissing, PA 196103221

Phone: 4846285673

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Richa Dhawan , MD

Internal Medicine

NPI 1003279670

Doctor of Medicine (M.D.)

Dr. Niranjan Tachamo , MD

Internal Medicine

NPI 1033592910

Doctor of Medicine (M.D.)

NPI 1053316968

Doctor of Medicine (M.D.)

Dr. Sofia Bajwa , DO

Internal Medicine

NPI 1073904595

Doctor of Osteopathic Medicine (D.O.)

Dr. Ammar Asif , MD

Internal Medicine

NPI 1083135917

Doctor of Medicine (M.D.)

Brisha Best

Internal Medicine

NPI 1104455542

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2017

Registered at 420 S 5TH AVE, WEST READING, PA 196112143 (Tel: 4846285455)

📍
Updated Business Mailing Address September 27, 2017

Registered at PO BOX 13579, READING, PA 196123579 (Tel: 4846280799)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as HEATHER BAUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Nurse Practitioner (License #SP017907 in PA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Registered Nurse (License #RN587997 in PA)

NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2017

Registered at 420 S 5TH AVE, WEST READING, PA 196112143 (Tel: 4846285455)

📍
Updated Business Mailing Address July 27, 2017

Registered at PO BOX 13579, READING, PA 196123579 (Tel: 4846280799)

👤
Provider Name / Credentials Updated July 27, 2017

Recorded as HEATHER SHUMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Registered Nurse (License #RN587997 in PA)

🟢
Initial NPI Registration & Enumeration July 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396269742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2017
Last Update: September 27, 2017
Sole Proprietor: No

Mailing Address

Po Box 13579

Reading, PA 196123579

Phone: 4846280799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.