Jacob Heiser, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1113 S State St Ste 202
Dover, DE 19901-4112

Phone

(302) 261-5600

Fax

(302) 450-3181

NPI assigned

Nov 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• United Medical Clinic, LLC

  • Internal Medicine Physician
  • Bear, DE
  • NPI 1396046108
  Medicare reassignment
• Cardiology Physicians, LLC

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1952338212
  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1124783774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S STATE ST STE 202",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014112",
            "telephone_number": "302-261-5600",
            "fax_number": "302-450-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S STATE ST STE 202",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014112",
            "telephone_number": "302-261-5600",
            "fax_number": "302-450-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISER",
        "first_name": "JACOB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE PROFESSIONAL LICENSE",
            "identifier": "C50011629",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heart to Heart Counseling Services LLC
• Heart to Heart Health Services
• Stacey Lynell Heath, LMSW, MPA
• Alex Heckman
• Jennifer Heintz, PSY.D., LPC
• Ashley L Heisey, PA
• Francis Heller
• Lindsey Helmer
• Help at Home of Delaware, LLC
• Help at Home of Delaware, LLC

• Physician Assistant in Dover, DE
• Providers in Dover, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.