NPIMap

Individual provider Active NPI

Nicole J Heisman-Rifkin, DO

  • Internal Medicine Physician
  • Stowe, PA
National Provider Identifier
1154301927
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS012032 Issued in PA
Practice address
555 Glasgow St
Stowe, PA 19464-6557
Phone
(484) 945-0770
Fax
(484) 945-0648
NPI assigned
Jan 18, 2006
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012032 PA Primary

Addresses

Primary practice location

555 Glasgow St
Stowe, PA 19464-6557

Mailing address

305 Second Ave
Marketplace at Collegeville
Collegeville, PA 19426-2658
Phone (484) 961-8220

Other names 1

  • Nicole J Heisman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100303000335 PA Practitioner - Internal Medicine 2365587243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

305 2ND Ave
Collegeville, PA 19426-2658
Phone (610) 323-6835

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
73.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
Pottstown Hospital Company LLC Past Accepting new patients

Locations

305 Second Ave
Collegeville, PA 19426
Phone (484) 961-8220

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

Organizations & group practices 2

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1154301927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SECOND AVE",
            "address_2": "MARKETPLACE AT COLLEGEVILLE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262658",
            "telephone_number": "484-961-8220",
            "fax_number": "484-961-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 GLASGOW ST",
            "city": "STOWE",
            "state": "PA",
            "postal_code": "194646557",
            "telephone_number": "484-945-0770",
            "fax_number": "484-945-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISMAN-RIFKIN",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HEISMAN",
            "middle_name": "J",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stowe, PA

Sources for this page

Verify at the official NPI Registry.