Individual provider Active NPI

Rebecca Heits

  • Family Nurse Practitioner
  • Fairfax, MO
National Provider Identifier
1023448164
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013039393 Issued in MO
Practice address
26136 US Highway 59
Fairfax, MO 64446-9105
Phone
(660) 686-2211
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2013039393 MO Primary

Addresses

Primary practice location

26136 US Highway 59
Fairfax, MO 64446-9105

Mailing address

26136 US Highway 59
Fairfax, MO 64446-9105
Phone (660) 686-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140707000120 NE Practitioner - Nurse Practitioner 0446475578 Reassigns benefits to 2 organizations
I20141016000774 MO Practitioner - Nurse Practitioner 0446475578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital AssociationGroup PAC ID 1557316783, 8 clinicians

Practice addresses (Care Compare)

100 E Cass St
Rock Port, MO 64482-1528
Phone (660) 744-5361

101 S Washington St
South Holt Family Medicine
Oregon, MO 64473-9311
Phone (660) 446-2090

102 S 6TH St
Tarkio, MO 64491-1513
Phone (660) 736-4193

309 E Main St
Fairfax, MO 64446-9312
Phone (660) 686-0263

514 State St
Mound City, MO 64470-1145
Phone (660) 442-3181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2013039393MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association CurrentSince Oct 23, 2013 Accepting new patients
Community Hospital Association CurrentSince Sep 3, 2014 Accepting new patients
Community Hospital Association CurrentSince Oct 23, 2013 Accepting new patients
Community Hospital Association Past Accepting new patients

Locations

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 686-2211

100 E Cass St
Rock Port, MO 64482
Phone (660) 744-5361

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1023448164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "660-686-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "660-686-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITS",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013039393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, MO

Sources for this page

Verify at the official NPI Registry.