Individual provider Active NPI

Linda Louise Heilman, ARNP

  • Family Nurse Practitioner
  • Macclenny, FL
National Provider Identifier
1043755069
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9303138 Issued in FL
Practice address
159 N 3Rd St
Macclenny, FL 32063-2103
Phone
(904) 259-3151
Fax
(904) 259-9147
NPI assigned
Dec 29, 2016
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 9303138 FL Primary

Addresses

Primary practice location

159 N 3Rd St
Macclenny, FL 32063-2103

Mailing address

159 N 3Rd St
Macclenny, FL 32063-2103
Phone (904) 259-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170207000591 FL Practitioner - Nurse Practitioner 0446533905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

1730 Pat Thomas Pkwy
Quincy, FL 32351-8681
Phone (850) 662-0041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9303138FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baker County Medical Services Inc CurrentSince Jan 4, 2017 Accepting new patients
Baker County Medical Services Inc CurrentSince Jan 4, 2017 Accepting new patients
Rural Urgent Care LLC CurrentSince Jun 21, 2023 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Jun 21, 2023 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

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.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1043755069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N 3RD ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632103",
            "telephone_number": "904-259-3151",
            "fax_number": "904-259-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N 3RD ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632103",
            "telephone_number": "904-259-3151",
            "fax_number": "904-259-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "LINDA",
        "middle_name": "LOUISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9303138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

Verify at the official NPI Registry.