Jessica Lynn Heaney, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704271858 Issued in MI

Practice address

1217 Kearney St Ste 2
Port Huron, MI 48060-3571

Phone

(810) 990-8302

NPI assigned

Aug 13, 2018

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huron Medical Center PCGroup PAC ID 0648283929, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Huron Medical Center PC

  • Hematology & Oncology Physician
  • Port Huron, MI
  • NPI 1447277496
  Medicare reassignment Care Compare group
• East Michigan Hospitalists PLLC

  • Internal Medicine Physician
  • Port Huron, MI
  • NPI 1366825986
  Medicare reassignment NPD
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Family Medicine

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1134265986
  Medicare reassignment NPD
• Blue Water Sleep Inc

  • Home Health Registered Nurse
  • Fort Gratiot, MI
  • NPI 1174308290
  Authorized official Same address or phone
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Health Centers - Bruce Twp./Chesterfield/Fraser

  • Urgent Care Clinic/Center
  • Bruce, MI
  • NPI 1568508059
  NPD
• Vinculum Care LLC

  • Registered Nurse
  • Fort Gratiot, MI
  • NPI 1144906538
  NPD
• Vinculum Care LLC

  • Nursing Care Agency
  • Fort Gratiot, MI
  • NPI 1306538079
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1083193783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54516 AVONDALE DR",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471073",
            "telephone_number": "586-524-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST STE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-990-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17900 23 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441161",
            "country_code": "US",
            "telephone_number": "586-868-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271858",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704271858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlee Melisa Hawley
• Amanda Haymend, MS
• Judith Lynn Haynes
• Health and Wellness Center Inc (The Wellness Center)
• Health Management Care, PC
• Hearing Clinics, LLC
• Richard J Heglund, MD
• Annette Marie Heilman
• Vicki Hein
• Corinne Tawgusta-Lynn Heinbuck

• Family Nurse Practitioner in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.