Patricia Ann Heirtzler, FNP-C
Individual provider Active NPI Nurse Practitioner · Sour Lake, TX
NPI 1043790785 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1043790785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP138551 (TX)
- Practice address
- 689 6TH St
Sour Lake, TX 77659-1870 - Phone
- (409) 287-4100
- Fax
- (409) 287-4105
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sour Lake Health and Medical, PLLC
Practice addresses (Care Compare)
689 6TH St
Sour Lake, TX 77659-1870
Phone (409) 287-4100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181130000577 | TX | Practitioner - Nurse Practitioner | 8224372339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138551 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sour Lake Health & Medical, PLLC | Multi-Specialty | Current |
Accepting new patients |
| Advanced Cardiovascular Specialists, LLP | Multi-Specialty | Current |
Accepting new patients |
| Shung-Man Kurt Lee Mdpa | Multi-Specialty | Current |
Accepting new patients |
| Ahmad Medical PC | Multi-Specialty | Past |
Accepting new patients |
Locations
2965 Harrison Ave
Ste 222
Beaumont, TX 77702
2965 Harrison Ave
#222
Beaumont, TX 77702
2014 S Wheeler St
Ste 200
Jasper, TX 75951
Phone (409) 383-1780
930 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-4200
689 6th St
Sour Lake, TX 77659
Phone (409) 287-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner |
363LP2300X | AP138551 | TX | |
| Nurse Practitioner | 363L00000X | AP138551 | TX | Yes |
Addresses
Primary practice location
689 6TH St
Sour Lake, TX 77659-1870
Mailing address
689 6TH St
Sour Lake, TX 77659-1870
Phone (406) 287-4100
Other providers in Sour Lake, TX
- Ginger Lee Coburn
- Amy Renee Dale
- Angela Ford
- Lacey Ann Guedry
- Hardin County Emergency Service District No 5
- Karla Michelle Kicak
- Shawn D Klinger
- Lauren Letsinger
- Kristine Matlock
- Paul Wesolow MD
All providers in Sour Lake, TX · Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.