Active NPI
Jade Nicholas Heinen, M.D.
- Family Medicine Physician
- Eunice, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.201684
- Practice address
- 151 Leon Ave
Eunice, LA 70535-3917 - Phone
- (337) 457-8166
- Fax
- (888) 371-3069
- NPI assigned
- May 22, 2007
- Last updated
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.201684 | LA | Primary |
Addresses
Primary practice location
151 Leon Ave
Eunice, LA 70535-3917
Mailing address
151 Leon Ave
Eunice, LA 70535-3917
Phone (337) 457-8166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505722 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 Leon Ave
Eunice, LA 70535-3917
Phone (337) 457-8166
151 Leon Ave
Suite B
Eunice, LA 70535-3938
Phone (337) 457-8166
825 W Lasalle St
Heinen Medical Ville Platte
Ville Platte, LA 70586-3129
Phone (337) 426-1966
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heinen Medical Clinics LLC | Current | Accepting new patients | |
| Heinen Medical Clinics LLC | Current | Accepting new patients | |
| Brian N. Heinen, MD Apmc | Family Medicine | Current | Accepting new patients |
| Nursing Home of Eunice LLC | Past | Accepting new patients | |
| Heinen Medical VP LLC | Family Medicine | Past | Accepting new patients |
| Jade N. Heinen, MD Apmc | Family Medicine | Past | Accepting new patients |
Locations
151 Leon Ave
Eunice, LA 70535
Phone (337) 457-8166
151 Leon Ave
Ste B
Eunice, LA 70535
Phone (337) 457-8166
825 W Lasalle St
Ville Platte, LA 70586
Phone (337) 363-5521
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Heinen Medical Ville Platte | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) Corporate Director (100%) Operational/Managerial Control (50%) |
Aug 29, 2018 Aug 29, 2018 Aug 29, 2019 Aug 29, 2018 |
| Heinen Medical Eunice | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Aug 29, 2018 Aug 29, 2018 Aug 29, 2018 Aug 29, 2018 |
| Heinen Medical Kinder | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Operational/Managerial Control (50%) |
Aug 29, 2018 Aug 29, 2018 Aug 29, 2018 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Heinen Medical Eunice
- Rural Health Clinic/Center
- Eunice, LA
- NPI 1124593900
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
dba Heinen Medical Kinder
- Rural Health Clinic/Center
- Kinder, LA
- NPI 1841928660
5% Or Greater Direct Ownership Interest, General Partnership Interest, Operational/Managerial Control
-
dba Heinen Medical Ville Platte
- Rural Health Clinic/Center
- Ville Platte, LA
- NPI 1871073304
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control
Organizations & group practices 9
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.
-
dba Heinen Medical Eunice
- Rural Health Clinic/Center
- Eunice, LA
- NPI 1124593900
-
- Family Medicine Physician
- Eunice, LA
- NPI 1902064520
-
dba Heinen Medical Kinder
- Rural Health Clinic/Center
- Kinder, LA
- NPI 1841928660
-
dba Heinen Medical Ville Platte
- Rural Health Clinic/Center
- Ville Platte, LA
- NPI 1871073304
-
- Family Medicine Physician
- Ville Platte, LA
- NPI 1043721624
-
- Durable Medical Equipment & Medical Supplies
- Eunice, LA
- NPI 1386991917
-
- Family Medicine Physician
- Eunice, LA
- NPI 1558507632
-
- Family Medicine Physician
- Eunice, LA
- NPI 1215474663
-
dba Eunice Manor Nursing Home
- Skilled Nursing Facility
- Eunice, LA
- NPI 1023068129
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Eunice, LA
- NPI 1720842537
-
dba Eunice Manor Nursing Home
- Skilled Nursing Facility
- Eunice, LA
- NPI 1023068129
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1174732424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 LEON AVE",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353917",
"telephone_number": "337-457-8166",
"fax_number": "888-371-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 LEON AVE",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353917",
"telephone_number": "337-457-8166",
"fax_number": "888-371-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINEN",
"first_name": "JADE",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.201684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505722",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eunice, LA
- Richard L Hebert II, M.D.
- Heinen Medical Clinics LLC (Heinen Medical Eunice)
- Heinen Obstetrics and Gynecology LLC
- Heinen Senior Care
- Brian N. Heinen, M.D.
- Joseph Nicholas Heinen Sr., M.D.
- Monty N Heinen, MD
- Tommy G Hillman, DDS
- HIV-AIDS Alliance for Region Two (Open Health Care Clinic)
- HIV-AIDS Alliance for Region Two
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.