Heather R. James
- Gender: Female
- Experience: 17 years
- Graduation year: 2004
- Sole propriator: No
- NPI: 1922114347
Heather R. James P.A.-C
Physician Assistant
She is located at 3400 Union Avenue in Sheboygan, WI 53081. Her National Provider Identifier (NPI) number is 1922114347. Appointment can be made via the phone number (920) 828-2700. She is affiliated with 1 practices and 1 hospitals.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Heather R. James as in-network for the following 2026 plans.
Health plans
Aspirus Health Plan
Network data as of Mar 13, 2023, as reported by the insurer.
Show all 12 plans from Aspirus Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HMO Bronze $0 Medical Deductible | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 10000 | HMO · Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 7500 | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Catastrophic 10600 with 3 free PCP visits | HMO · Catastrophic | Aspirussign | Accepting new patients |
| HMO Gold 2000 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO Gold 2700 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO HDHP Silver 5900 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6000 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6600 | HMO · Silver | Aspirussign | Accepting new patients |
| POS Bronze 7500 | POS · Expanded Bronze | Aspirussign | Accepting new patients |
| POS Bronze 8500 | POS · Bronze | Aspirussign | Accepting new patients |
| POS Silver 6000 | POS · Silver | Aspirussign | Accepting new patients |
CareSource (Common Ground Healthcare)
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 18 plans from CareSource (Common Ground Healthcare)
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
Quartz
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 57 plans from Quartz
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Heather R. James is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Heather R. James is enrolled to bill Medicare as a Practitioner - Physician Assistant .
Bills through: Aurora Medical Group, Inc.
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Studies
Graduated in 2004
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Questions & Answers
Where can you meet with Heather R. James?
Heather R. James's office is located at 3400 Union Avenue in Sheboygan, WI 53081.
Has Heather R. James affiliation with hospitals?
Heather R. James is affiliated with AURORA SHEBOYGAN MEMORIAL MEDICAL CTR.
Does Heather R. James accept insurance?
Heather R. James is listed in-network for 100 ACA Marketplace (Obamacare/HealthCare.gov) plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz, UnitedHealthcare. See the Marketplace plans section for details.
Does Heather R. James have affiliation with practices?
Heather R. James is affiliated with HFM Family Medicine.