Individual provider Active NPI

Jennifer Wilson-Heun

  • Family Nurse Practitioner
  • Napa, CA
National Provider Identifier
1124243472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15764 Issued in CA
Practice address
1100 Trancas St
Suite 300
Napa, CA 94558-2908
Phone
(707) 257-4084
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15764 CA Primary

Addresses

Primary practice location

1100 Trancas St
Suite 300
Napa, CA 94558-2908

Mailing address

3124 Hyde Park PL
Napa, CA 94558-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240801004596 CA Practitioner - Nurse Practitioner 9335686880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CP Napa N-Ca Hospice LLCGroup PAC ID 7618467010, 2 clinicians
Collabria CareGroup PAC ID 8123073707, 2 clinicians

Practice addresses (Care Compare)

414 S Jefferson St
Napa, CA 94559-4515
Phone (707) 258-9080

Hospital & facility affiliations

  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CP Napa N-Ca Hospice, LLC CurrentSince Sep 29, 2025 Accepting new patients
Collabria Care CurrentSince Apr 20, 2024 Accepting new patients
Collabria Care Current Accepting new patients

Locations

414 S Jefferson St
Napa, CA 94559
Phone (707) 258-9080

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Interoperability endpoints

  • Direct secure messaging: jwilsonheun2469899@oc.providencedirect.org

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.

Hospital & facility affiliations 2

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124243472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 HYDE PARK PL",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945581808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST",
            "address_2": "SUITE 300",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582908",
            "telephone_number": "707-257-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-HEUN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.