Dr. Heather Gladfelter
- Gender: Female
- Sole propriator: No
- NPI: 1265061378
Dr. Heather Gladfelter MD
Resident
She is located at 9000 West Wisconsin Avenue in Milwaukee, WI 53226. Her National Provider Identifier (NPI) number is 1265061378. Appointment can be made via the phone number (414) 266-2000.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Heather Gladfelter as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 9 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | 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 |
HealthPartners
Network data as of Apr 3, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Oak $1,300 Gold | PPO · Gold | Network | Accepting new patients |
| Oak $2,000 Standard Gold | PPO · Gold | Network | Accepting new patients |
Network Health
Network data as of Aug 10, 2026, as reported by the insurer.
Show all 14 plans from Network Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Prestige Bronze $0 Medical Deductible (2 plan variants) | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductible | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental + Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental +Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze Essential + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessential | Accepting new patients |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessentialdv | Accepting new patients |
| Prestige Bronze Plus | HMO · Expanded Bronze | Prestigebronzeplus | Accepting new patients |
| Prestige Gold | HMO · Gold | Prestigegold | Accepting new patients |
| Prestige Gold 50 + 1 Free PCP Visit | HMO · Gold | Prestigegoldfifty | Accepting new patients |
| Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit | HMO · Gold | Prestigegoldfiftydv | Accepting new patients |
| Prestige Gold Essential + 3Free PCP Visits | HMO · Gold | Prestigegoldessential | Accepting new patients |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits | HMO · Gold | Prestigegoldessentialdv | Accepting new patients |
| Prestige Silver | HMO · Silver | Prestigesilver | Accepting new patients |
| Prestige Silver Essential + 3 Free PCP Visits | HMO · Silver | Prestigesilveressential | Accepting new patients |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits | HMO · Silver | Prestigesilveressentialdv | 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 Dr. Heather Gladfelter 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
Dr. Heather Gladfelter is enrolled to bill Medicare as a Practitioner - Pediatric Medicine .
Bills through: The Medical College Of Wisconsin 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.
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Questions & Answers
Does Dr. Heather Gladfelter accept insurance?
Dr. Heather Gladfelter is listed in-network for 43 ACA Marketplace (Obamacare/HealthCare.gov) plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health. See the Marketplace plans section for details.
Where can you meet with Dr. Heather Gladfelter?
Dr. Heather Gladfelter's office is located at 9000 West Wisconsin Avenue in Milwaukee, WI 53226.