Active NPI
Kathleen Brikmann Hefferon, PA
- Physician Assistant
- Bluffton, SC
National Provider Identifier
1295755312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4991
- Practice address
- 75 Baylor Dr Ste 155
Bluffton, SC 29910-8965 - Phone
- (843) 682-7480
- Fax
- (843) 681-9169
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011038 | NY | |
| Physician Assistant | 363A00000X | 4991 | SC | Primary |
Addresses
Primary practice location
75 Baylor Dr Ste 155
Bluffton, SC 29910-8965
Mailing address
PO Box 37643
Belfast, ME 04915-1218
Other practice location 1
1910 South Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120 ext. 1265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02732305 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Baylor Dr
Bluffton, SC 29910-8965
8 Hospital Ctr Blvd
Hilton Head, SC 29926-8701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.72 of 100
- Quality
- 63.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients |
Locations
75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523
25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203
8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740
Interoperability endpoints
- kathleen.hefferon.1@30548.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bluffton, SC
- NPI 1548021694
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1205607967
-
dba Wound Healing Center
- Surgery Physician
- Bluffton, SC
- NPI 1295596708
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Bluffton
- Home Health Agency
- Bluffton, SC
- NPI 1215110226
-
dba Novant Health Hilton Head Medical Center
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
dba Novant Health Coastal Carolina Hospital
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1295755312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37643",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BAYLOR DR STE 155",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108965",
"telephone_number": "843-682-7480",
"fax_number": "843-681-9169"
}
],
"practiceLocations": [
{
"address_1": "1910 South Rd",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126016027",
"country_code": "US",
"telephone_number": "845-454-0120 x1265",
"fax_number": "845-454-6080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEFFERON",
"first_name": "KATHLEEN",
"middle_name": "BRIKMANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011038",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02732305",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.