Maris Heigle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

363A00000X Issued in OK

Practice address

1932 NW 23Rd St
Oklahoma City, OK 73106-1202

Phone

(405) 833-1108

Fax

(405) 673-7325

NPI assigned

Oct 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Practice Mental Health, LLCGroup PAC ID 2062814387, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Advanced Practice Mental Health, LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1790377711
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1316609001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20905",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560905",
            "telephone_number": "405-833-1108",
            "fax_number": "405-673-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731061202",
            "telephone_number": "405-833-1108",
            "fax_number": "405-673-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIGLE",
        "first_name": "MARIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "363A00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hefner West Medical Clinic, P.C.
• Kimberly Sue Hefner-Poe, O.D.
• Ramin Heidari, DMD
• Jasmine Heidary
• Benjamin Heigle, DO
• Natalie Elizabeth Heigle, BSN RN
• Richard B Heigle, MD
• Tyler Heilaman
• Joy Marie Heiliger, P.T.
• Kaylee Denise Heim, APRN-CNP

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.