Jennifer Marie Heaven, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336750 Issued in NY

Practice address

254 Alexander St
Rochester, NY 14607-2515

Phone

(585) 545-1749

NPI assigned

May 23, 2011

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 NY

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

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Partners Medical Group, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Getzville, NY
  • NPI 1184305153
  Medicare reassignment Care Compare group NPD
• Care Connect Medical P.C.

  • General Practice Physician
  • Tarrytown, NY
  • NPI 1457032328
  Medicare reassignment NPD
• GYN Oncology Group of the University of Rochester

  • Gynecologic Oncology Physician
  • Rochester, NY
  • NPI 1033129044
  Medicare reassignment NPD
• Mobile Physician Services PLLC

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1194132415
  Medicare reassignment NPD
• Physician Mobile Medical Care PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1518765502
  Medicare reassignment NPD

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1356634539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD",
            "address_2": "SUITE 258",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204159",
            "telephone_number": "585-442-8020",
            "fax_number": "585-442-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072515",
            "telephone_number": "585-545-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVEN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannel Heath
• Heather a Penrose LCSW Psychotherapy PLLC
• Heather Muxworthy DNP(S), Pmhnp-BC, LLC
• Chad R Heatwole, MD
• Heaven Sent Peer Support LLC
• Heavenly Helpers
• Elizabeth J Heavey, CNM
• Patrick Hebble
• Katie Heberle, M.S. ED.
• Ma. Melita Mendoza Hebert, NP

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.