Individual provider Active NPI

Heidi R Andress, FNP

  • Family Nurse Practitioner
  • Buffalo, MO
National Provider Identifier
1285438358
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02250539 Issued in MO
Practice address
631 W Main St
Buffalo, MO 65622-7496
Phone
(417) 345-5422
NPI assigned
Apr 1, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 F02250539 MO Primary

Addresses

Primary practice location

631 W Main St
Buffalo, MO 65622-7496

Mailing address

500 Dekalb Ave
Brooklyn, NY 11205-5243
Phone (718) 964-6161

Other practice location 1

202 E Mill St
Humansville, MO 65674-8507
Phone (417) 754-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250514002726 MO Practitioner - Nurse Practitioner 8224556105 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F02250539MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Apr 2, 2025 Accepting new patients
Missouri Mso LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

3430 McKelvey Rd
Ste J
Bridgeton, MO 63044
Phone (314) 551-2101

1501 Charbonier Rd
Florissant, MO 63031
Phone (314) 921-2700

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1285438358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243",
            "telephone_number": "718-964-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656227496",
            "telephone_number": "417-345-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Mill St",
            "address_purpose": "LOCATION",
            "city": "Humansville",
            "state": "MO",
            "postal_code": "656748507",
            "country_code": "US",
            "telephone_number": "417-754-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRESS",
        "first_name": "HEIDI",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F02250539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MO

Sources for this page

Verify at the official NPI Registry.