Active NPI
Grace Marie Hecker, MD
- Family Medicine Physician
- Redlands, CA
National Provider Identifier
1043659337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A168371
- Practice address
- 1910 Orange Tree LN Ste 344
Redlands, CA 92374-4500 - Phone
- (909) 792-1388
- Fax
- (097) 487-9259
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A168371 | CA | Primary |
Addresses
Primary practice location
1910 Orange Tree LN Ste 344
Redlands, CA 92374-4500
Mailing address
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161203000204 | TX | Practitioner - Family Practice | 7315227667 | Reassigns benefits to 1 organization |
| I20221220000649 | CA | Practitioner - Family Practice | 7315227667 | Practice locations: Redlands, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1910 Orange Tree LN
Suite 344
Redlands, CA 92374-4500
Phone (909) 792-1388
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168371 | CA | MD | Family Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Heart of Texas Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Heart of Texas Community Health Center Inc | Current | Accepting new patients |
Locations
1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1568191492
TX
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1164409926
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Temple, TX
- NPI 1992685218
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1043659337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PROVIDENCE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767072261",
"telephone_number": "254-313-4200",
"fax_number": "254-313-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 ORANGE TREE LN STE 344",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744500",
"telephone_number": "909-792-1388",
"fax_number": "097-487-9259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKER",
"first_name": "GRACE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A168371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
- Health Acupuncture Inc.
- Health Diagnostics of California a Professional Corporation
- Health Diagnostics of California a Professional Corporation
- Michelene Hearth-Holmes, M.D.
- Heather D West M.D., Inc
- Sakher Hegazin
- Leann Heilman
- Bruce Scott Heinrich, D.D.S., M.S.
- Tannya Heinz
- Lois Heischober, MSN, RN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.