Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Kohli-Werner, PA-C

Individual provider Physician Assistant · NPI 1720319452

Heather Kohli-Werner, PA-C is a Physician Assistant in Berlin, Maryland. Qualified in 2009, 17 years ago. Practices with Tidalhealth Primary Care LLC, a 63-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware, Maryland, Ohio and Virginia.

Years since qualifying
17
Licensed in
DE, MD, OH, VA
In the registry since
2010
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

11101 Cathage Rd
Berlin, MD 21811
Phone: (410) 912-6104
Fax: (410) 208-1872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30668 Sussex Hwy, Laurel, DE 19956-4421 — (302) 875-6550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0006714 (MD)
Physician Assistant Taxonomy 363A00000X · Licence C5-0000888 (DE)
Physician Assistant Taxonomy 363A00000X · Licence 0110003851 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 1088241 (OH)

Record details

NPI number1720319452
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2010
Last updated in NPPESDecember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tidalhealth Primary Care Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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