Individual provider Active NPI

Rachel Elizabeth Heibein, NP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1225481245
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199241 Issued in MD
Practice address
3449 Wilkens Ave
Suite 300
Baltimore, MD 21229-5281
Phone
(410) 747-4080
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 R199241 MD Primary

Addresses

Primary practice location

3449 Wilkens Ave
Suite 300
Baltimore, MD 21229-5281

Mailing address

3449 Wilkens Ave
Suite 300
Baltimore, MD 21229-5281
Phone (410) 747-4080

Other names 1

  • Rachel Elizabeth Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20161003000021 MD Practitioner - Nurse Practitioner 5193012326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Geipe Rd
Suite 200
Catonsville, MD 21228-4176
Phone (410) 744-0661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199241MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC CurrentSince Jan 2, 2024 Accepting new patients
Seton Medical Group, Inc CurrentSince Aug 19, 2016 Accepting new patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC CurrentSince Jan 2, 2024 Accepting new patients
Nasseri Clinic of Arthritic and Rheumatic Diseases LLC Past Accepting new patients

Locations

3449 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 747-4080

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

724 Maiden Choice Ln
Ste 204
Catonsville, MD 21228
Phone (410) 744-6544

700 Geipe Rd
Ste 266
Catonsville, MD 21228
Phone (410) 971-0642

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJGAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1225481245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "410-747-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "410-747-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBEIN",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WALKER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.