Heather Leigh Pridgen Powell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113940 Issued in FL

Practice address

11637 Terrace Dr Ste 100
Waldorf, MD 20602-3707

Phone

(301) 870-7287

Fax

(301) 870-0687

NPI assigned

Sep 22, 2014

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.1 of 100Reported as group

Quality

35.98

Promoting interoperability

100

Improvement activities

40

Cost

61.02

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1144651373
  Medicare reassignment Care Compare group
• Cardiorenal Therapeutics LLC

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1457917304
  Medicare reassignment

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1346642311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023707",
            "telephone_number": "301-870-7287",
            "fax_number": "904-493-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023707",
            "telephone_number": "301-870-7287",
            "fax_number": "301-870-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "HEATHER",
        "middle_name": "LEIGH PRIDGEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06485",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y0PK3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Behavioral Health Services
• Positive Behavioral Health Services
• Post Office Lake Dental Associates
• Potomac Physical Therapy LLC
• Morgan A Powe, DDS
• Tatum Powell
• Powem Publishers LLC (Fatherless Fathers Counseling and Consulting Services)
• Power Counseling PLLC
• Janet E. Powers, M.D.
• Ginger Lynn Prather

• Physician Assistant in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.