Individual provider Active NPI

Krista Marie Heckert, FNP

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1306333927
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704223285 Issued in MI
Practice address
5200 State St
Saginaw, MI 48603-3713
Phone
(989) 793-4250
Fax
(989) 793-6880
NPI assigned
Apr 19, 2018
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704223285 MI Primary

Addresses

Primary practice location

5200 State St
Saginaw, MI 48603-3713

Mailing address

4386 State St Ste 3
Saginaw, MI 48603-4067
Phone (989) 793-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180430002657 MI Practitioner - Nurse Practitioner 4385908276 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saginaw Valley Family Care PLLCGroup PAC ID 4587900774, 4 clinicians

Practice addresses (Care Compare)

5200 State St
Saginaw, MI 48603-3713
Phone (989) 793-4250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northview Medical House Calls PLC CurrentSince Apr 19, 2018 Accepting new patients
Caro Health Plaza PLC CurrentSince Nov 1, 2020 Accepting new patients
Caro Health Plaza PLC CurrentSince Nov 1, 2020 Accepting new patients
Shattuck Family Physicians PLLC CurrentSince Mar 23, 2020 Accepting new patients
Mohamed Ally Health Plaza PLLC CurrentSince May 11, 2020 Accepting new patients
Saginaw Valley Family Care, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Region VII Area Agency on Aging Inc PastSince Jun 25, 2018 Accepting new patients

Locations

1184 Cleaver Rd
Ste 300
Caro, MI 48723
Phone (888) 758-5709

1525 W Caro Rd
Caro, MI 48723
Phone (989) 672-2100

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

387 N State Rd
Ste A
Otisville, MI 48463
Phone (810) 631-4060

4386 State St
Ste 3
Saginaw, MI 48603
Phone (989) 793-4250

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

5200 State St
Saginaw, MI 48603
Phone (989) 793-4250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17464/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kheckert49306@direct.covenanthealthcare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1306333927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 STATE ST STE 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034067",
            "telephone_number": "989-793-4250",
            "fax_number": "989-793-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033713",
            "telephone_number": "989-793-4250",
            "fax_number": "989-793-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKERT",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704223285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.