Individual provider Active NPI

Heather Marie Maggio, FNP

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1285085456
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95004673 Issued in CA
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

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921001168 CA Practitioner - Nurse Practitioner 2365739208 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
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

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

LicenseStateTypeSpecialty
RN683793CAMDRegistered Nurse
NP95004673CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Feb 1, 2020 Accepting new patients
First Choice Physician Partners CurrentSince Feb 1, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2022 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2022 Accepting new patients
Golden Valley Health Center PastSince Sep 6, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.