Active NPI
Heather Marie Maggio, FNP
- Family Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95004673
- Practice address
- 1444 Florida Ave Ste 202
Modesto, CA 95350-4400 - Phone
- (209) 524-1264
- Fax
- (209) 524-8218
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN683793 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95004673 | CA | Primary |
Addresses
Primary practice location
1444 Florida Ave Ste 202
Modesto, CA 95350-4400
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Other practice location 1
1540 Florida Ave
Modesto, CA 95350-4430
Phone (209) 574-1030
Other practice location 2
1444 Florida Ave Ste 103
Modesto, CA 95350-4400
Phone (209) 524-1264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500
2800 L St
Sacramento, CA 95816-5616
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN683793 | CA | MD | Registered Nurse |
| NP95004673 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Golden Valley Health Center | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| PHC-Las Cruces Inc | Past | Accepting new patients |
Locations
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1444 Florida Ave
Ste 103
Modesto, CA 95350
Phone (209) 524-1264
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1444 Florida Ave
Ste 202
Modesto, CA 95350
Phone (209) 524-1264
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- hhollander367541@hisp.ehr.sutterhealth.org
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 and National Provider Directory roles.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
dba Ventana Health and Medical Center
- Internal Medicine Physician
- Pismo Beach, CA
- NPI 1215376496
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1700282175
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1285085456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 FLORIDA AVE STE 202",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504400",
"telephone_number": "209-524-1264",
"fax_number": "209-524-8218"
}
],
"practiceLocations": [
{
"address_1": "1540 Florida Ave",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504430",
"country_code": "US",
"telephone_number": "209-574-1030",
"fax_number": "209-574-1038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1444 Florida Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504400",
"country_code": "US",
"telephone_number": "209-524-1264",
"fax_number": "209-524-8218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGGIO",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN683793",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95004673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.