Brandy Susanne Heinley, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Bernie, MO
NPI 1316178643 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1316178643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 144264 (MO)
- Practice address
- 741 S Walnut St
Bernie, MO 63822-8900 - Phone
- (573) 293-6836
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111111000716 | MO | Practitioner - Nurse Practitioner | 6002080801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pemiscot County Memorial Hospital | Current |
Accepting new patients | |
| Pemiscot County Memorial Hospital | Current |
Accepting new patients |
Locations
946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 144264 | MO | Yes |
Addresses
Primary practice location
741 S Walnut St
Bernie, MO 63822-8900
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Phone (573) 313-2500
Other practice location 1
501 Teaco Rd
Kennett, MO 63857-3721
Phone (573) 888-4370
Other providers in Bernie, MO
- Amanda Elaine Bader
- Bernie R-Xiii School District
- Tari D. Cupp
- Cara M Dillinger
- Karaline Alynn Keirsey
- Shelby Lawrence
- Katrina Leanne Miller
- Daley M Powers
- Ronna Reaves
All providers in Bernie, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.