Individual provider Active NPI

Heather Ann Neal, PA-C

  • Medical Physician Assistant
  • Kingman, AZ
National Provider Identifier
1063821700
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MED-PAC-LIC-103548 Issued in MT
Practice address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 757-2101
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10358 TX
Physician Assistant 363A00000X PA2020-0044 NM
Physician Assistant 363A00000X 2648 WV
Physician Assistant 363A00000X 7212 WI
Medical Physician Assistant 363AM0700X MED-PAC-LIC-103548 MT Primary

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

202 Walton Way
Ste 192 PMB 514
Cedar Park, TX 78613-4306
Phone (253) 306-8730

Other practice location 1

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Other practice location 2

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1330

Other practice location 3

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV, MI, GA, AZ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160601002613 TX Practitioner - Physician Assistant 4486944584 Reassigns benefits to 3 organizations
I20230421001560 WV Practitioner - Physician Assistant 4486944584 Reassigns benefits to 1 organization
I20231023001732 MI Practitioner - Physician Assistant 4486944584 Reassigns benefits to 2 organizations
I20240109004139 GA Practitioner - Physician Assistant 4486944584 Reassigns benefits to 2 organizations
I20241205003335 AZ Practitioner - Physician Assistant 4486944584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2648WVMDFamily Medicine Physician
3851SCMDPhysical Medicine & Rehabilitation Physician
PA2020-0044NMMDPhysician Assistant
7212WIMDPhysician Assistant
MED-PAC-LIC-103548MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Sep 1, 2023 Accepting new patients
Apogee Medical Group Inc CurrentSince Dec 2, 2024 Accepting new patients
Apogee Medical Group Inc CurrentSince Dec 2, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 4, 2024 Accepting new patients
Monongalia County General Hospital Company CurrentSince Jan 7, 2023 Accepting new patients
Mymichigan Medical Group CurrentSince Jul 4, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 4, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Aco Jason Martin Medical Consulting PastSince Aug 3, 2025 Accepting new patients
Seton Hospitalist Service Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Interoperability endpoints

  • Direct secure messaging: haneal@direct.uabmedicine.org
  • Direct secure messaging: heather.neal@hca7.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1063821700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WALTON WAY",
            "address_2": "STE 192 PMB 514",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134306",
            "telephone_number": "253-306-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042235",
            "country_code": "US",
            "telephone_number": "361-881-3000",
            "fax_number": "361-881-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1330",
            "fax_number": "304-598-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Lomas Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062719",
            "country_code": "US",
            "telephone_number": "505-272-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10358",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2020-0044",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2648",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7212",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "MED-PAC-LIC-103548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.