Patrick Heaney, PA/C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

055-0030775 Issued in VT

Practice address

186 Medical Village Dr
Newport, VT 05855-8537

Phone

(802) 334-3520

Fax

(802) 334-3512

NPI assigned

Sep 6, 2006

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Country Hospital and Health Center IncGroup PAC ID 9739073479, 50 clinicians

Northeast Kingdom Healthcare Collaborative, LLCGroup PAC ID 5698949097, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304
• Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Country Hospital & Health Center Inc

  dba North Country Primary Care Newport

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  Medicare reassignment Care Compare group NPD
• Northeast Kingdom Healthcare Collaborative, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • St Johnsbury, VT
  • NPI 1215217641
  Medicare reassignment Care Compare group NPD
• North Country Hospital & Health Center Inc

  dba North Country OB GYN Services

  • Obstetrics & Gynecology Physician
  • Newport, VT
  • NPI 1295868008
  NPD
• North Country Hospital & Health Center Inc

  dba North Country Surgical Associates

  • Surgery Physician
  • Newport, VT
  • NPI 1679551238
  NPD

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

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Corner Medical

  • Primary Care Clinic/Center
  • Lyndonville, VT
  • NPI 1659459428

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital, Inc

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1275576704
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1174626089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HOME ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "03570",
            "telephone_number": "603-752-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558537",
            "telephone_number": "802-334-3520",
            "fax_number": "802-334-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "PATRICK",
        "credential": "PA/C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055-0030775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AP102301",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000297",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.heaney.1@15991.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "186 Medical Village Dr",
            "city": "Newport",
            "state": "VT",
            "country_code": "US",
            "postal_code": "058558537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Harrington, LICSW
• Amalia McGreevy Harris, MS, BCBA
• Don Eric Harris, DC
• Elizabeth H Hartman, ANP
• Michael G. Hayes, M.D.
• Hearing Center of Vermont
• John N Henry Jr., PAC
• Katie Ellen Higgins
• Larissa Hine, OTR/L
• William L Hogan, M.S., P.T.

• Medical Physician Assistant in Newport, VT
• Providers in Newport, VT by specialty
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.