Individual provider Active NPI

Heidi J Nativo, PA C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1235192840
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02908 Issued in KS
Practice address
3420 W 6TH St
Lawrence, KS 66049-3215
Phone
(785) 841-3123
Fax
(785) 842-1961
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00011200 NJ
Physician Assistant 363A00000X 15-02908 KS Primary

Addresses

Primary practice location

3420 W 6TH St
Lawrence, KS 66049-3215

Mailing address

26543 W 84TH Ter
Lenexa, KS 66227-4336
Phone (201) 819-4586

Other names 1

  • Mrs. Heidi J Nativo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100107000458 NJ Practitioner - Physician Assistant 6901947316 Reassigns benefits to 6 organizations
I20241004001016 KS Practitioner - Physician Assistant 6901947316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Care Plus of Overland Park LLCGroup PAC ID 8123153939, 26 clinicians

Practice addresses (Care Compare)

1100 N 4TH St
Leavenworth, KS 66048-1572
Phone (913) 297-9945

3420 W 6TH St
Lawrence, KS 66049-3215
Phone (785) 841-3123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Kansas PA CurrentSince Sep 27, 2024 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Feb 20, 2022 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jun 5, 2022 Accepting new patients
Emergent Care Plus of Overland Park, LLC CurrentSince Feb 6, 2026 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jun 5, 2022 Accepting new patients
Medical Associates of Englewood, PC Past Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Englewood Medical Associates Inc Past Accepting new patients
Emergent Care Plus, LLC Past Accepting new patients
Teaneck Emergency Physicians PA Past Accepting new patients

Locations

3420 W 6th St
Lawrence, KS 66049
Phone (785) 841-3123

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

14809 W 95th St
Lenexa, KS 66215
Phone (913) 894-6664

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1235192840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26543 W 84TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662274336",
            "telephone_number": "201-819-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493215",
            "telephone_number": "785-841-3123",
            "fax_number": "785-842-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVO",
        "first_name": "HEIDI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00011200",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "NATIVO",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "PAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.