Individual provider Active NPI

Jillian Paige Heichel

  • Physician Assistant
  • Surprise, AZ
National Provider Identifier
1245165695
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14674 W Mountain View Blvd Ste 200
Surprise, AZ 85374-2708
Phone
(360) 630-3504
Fax
(623) 544-6861
NPI assigned
Jun 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

14674 W Mountain View Blvd Ste 200
Surprise, AZ 85374-2708

Mailing address

14674 W Mountain View Blvd Ste 200
Surprise, AZ 85374-2708
Phone (360) 630-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2708

7951 W Beardsley Rd
Peoria, AZ 85382-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1245165695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD STE 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742708",
            "telephone_number": "360-630-3504",
            "fax_number": "623-544-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD STE 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742708",
            "telephone_number": "360-630-3504",
            "fax_number": "623-544-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEICHEL",
        "first_name": "JILLIAN",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.