Individual provider Active NPI

Andrea Renea Hefner, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1164209334
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027597 Issued in FL
Practice address
131 E Redstone Ave Ste 110
Crestview, FL 32539-5355
Phone
(850) 398-5922
Fax
(850) 398-6133
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 APRN11027597 FL Primary

Addresses

Primary practice location

131 E Redstone Ave Ste 110
Crestview, FL 32539-5355

Mailing address

131 E Redstone Ave Ste 110
Crestview, FL 32539-5355
Phone (850) 398-5922

Other identifiers 1

IdentifierTypeStateIssuer
111570600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240208001163 FL Practitioner - Nurse Practitioner 0244588374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fischer Health LLCGroup PAC ID 0143627224, 3 clinicians

Practice addresses (Care Compare)

131 E Redstone Ave
Suite 110
Crestview, FL 32539-5355
Phone (850) 398-5922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027597FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Health LLC CurrentSince Oct 4, 2024 Accepting new patients
Carpenter House Inc. PastSince May 18, 2015 Accepting new patients

Locations

131 E Redstone Ave
Ste 110
Crestview, FL 32539
Phone (850) 398-5922

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 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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1164209334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE STE 110",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395355",
            "telephone_number": "850-398-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE STE 110",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395355",
            "telephone_number": "850-398-5922",
            "fax_number": "850-398-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "ANDREA",
        "middle_name": "RENEA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111570600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.