Active NPI
Jessica Nicole Heis, APRN, FNP-C
- Nurse Practitioner
- Beckley, WV
National Provider Identifier
1295380822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 103705
- Practice address
- 124 Brookshire LN
Beckley, WV 25801-6761 - Phone
- (304) 252-8551
- Fax
- (304) 461-0435
- NPI assigned
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 103705 | WV | Primary |
Addresses
Primary practice location
124 Brookshire LN
Beckley, WV 25801-6761
Mailing address
252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103705 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Cherokee Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- jessica.heis.1@14333.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1982643938
Nurse Practitioner
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736640000000",
"number": "1295380822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 RURAL ACRES DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013503",
"telephone_number": "304-253-2628",
"fax_number": "304-252-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 BROOKSHIRE LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258016761",
"telephone_number": "304-252-8551",
"fax_number": "304-461-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIS",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2025-01-12",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "103705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.