NPIMap

Individual provider Active NPI

Abigail Katherine Heaton, DO

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1134748981
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023015321 Issued in MO
Practice address
6675 Holmes Rd Ste 450
Kansas City, MO 64131-1173
Phone
(816) 995-3070
Fax
(816) 276-7090
NPI assigned
Apr 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023015321 MO Primary

Addresses

Primary practice location

6675 Holmes Rd Ste 450
Kansas City, MO 64131-1173

Mailing address

332 S Main Ave
Republic, MO 65738-1861
Phone (417) 732-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921002435 MO Practitioner - Family Practice 8628422839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

940 W Mount Vernon St
110 MC Imaging Services Nixa
Nixa, MO 65714-9613
Phone (417) 724-5450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Mercy Hospital Aurora Past Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine PastSince Apr 19, 2020 Accepting new patients

Locations

940 W Mount Vernon St
Ste 110
Nixa, MO 65714
Phone (417) 724-5220

332 S Main Ave
Republic, MO 65738
Phone (417) 432-5058

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: abigail.heaton@hca2.eclinicaldirectplus.com

Organizations & group practices 5

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 9

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1134748981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MAIN AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381861",
            "telephone_number": "417-732-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 450",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311173",
            "telephone_number": "816-995-3070",
            "fax_number": "816-276-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "ABIGAIL",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023015321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.