Individual provider Active NPI

Jessica Colleen Heafner, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1063806388
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1516 Issued in AK
Practice address
3600 Minnestoa Dr.
Ste #B
Anchorage, AK 99503-3675
Phone
(907) 279-3500
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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 1516 AK Primary

Addresses

Primary practice location

3600 Minnestoa Dr.
Ste #B
Anchorage, AK 99503-3675

Mailing address

3030 Denali St Ste 9
Anchorage, AK 99503-4042
Phone (907) 830-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Integrative Medicine Past Accepting new patients
U.S. Healthworks Medical Group of Alaska, LLC Past Accepting new patients
Alaska Health Care Clinic, Inc. Family Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1063806388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 DENALI ST STE 9",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034042",
            "telephone_number": "907-830-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESTOA DR.",
            "address_2": "STE #B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033675",
            "telephone_number": "907-279-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAFNER",
        "first_name": "JESSICA",
        "middle_name": "COLLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.