Individual provider Active NPI

Heather Henderson Wilkey, NP-C

  • Family Nurse Practitioner
  • Greenwood, MS
National Provider Identifier
1114246147
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R874623 Issued in MS
Practice address
706 Highway 82 W
Suite B
Greenwood, MS 38930-5028
Phone
(662) 459-2181
Fax
(662) 459-2182
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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 R874623 MS Primary

Addresses

Primary practice location

706 Highway 82 W
Suite B
Greenwood, MS 38930-5028

Mailing address

603 Nicholson Ave
Greenwood, MS 38930-2421
Phone (662) 459-4336

Other identifiers 1

IdentifierTypeStateIssuer
05632706MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110216000867 MS Practitioner - Nurse Practitioner 6507047024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Greenwood Leflore Hospital CurrentSince Dec 1, 2020 Accepting new patients
Community Care Health Network LLC CurrentSince Jul 1, 2024 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Mar 10, 2023 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Oct 26, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 26, 2022 Accepting new patients
Family First Behavioral Health PastSince Mar 1, 2019 Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

203 9th St
Greenwood, MS 38930
Phone (662) 227-7020

1405 Strong Ave
Greenwood, MS 38930
Phone (662) 459-7030

960 Avent Dr
Ste 2
Grenada, MS 38901
Phone (662) 227-7500

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Interoperability endpoints

  • Direct secure messaging: hwilkey181502@ummc.direct-ci.com

Organizations & group practices 9

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1114246147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NICHOLSON AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302421",
            "telephone_number": "662-459-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HIGHWAY 82 W",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305028",
            "telephone_number": "662-459-2181",
            "fax_number": "662-459-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKEY",
        "first_name": "HEATHER",
        "middle_name": "HENDERSON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05632706",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.