Individual provider Active NPI

Emily Renee Heistand, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1366320665
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2115 University Dr Ste 240
Frisco, TX 75033-4801
Phone
(972) 236-7060
NPI assigned
Aug 25, 2025
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2115 University Dr Ste 240
Frisco, TX 75033-4801

Mailing address

1436 Caruth LN
Celina, TX 75009-3825
Phone (469) 744-2288

Other names 1

  • Emily Renee Bouyea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251015000311 TX Practitioner - Physician Assistant 6507353356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nobility Medical PLLCGroup PAC ID 6002196300, 22 clinicians

Practice addresses (Care Compare)

1060 S Preston Rd
Suite 104
Celina, TX 75009-3895
Phone (866) 846-0396

1061 N Coleman St
Suite 10
Prosper, TX 75078-2317
Phone (940) 365-9400

1061 N Coleman St
Suite 10
Prosper, TX 75078-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nobility Medical PLLC CurrentSince Sep 30, 2025 Accepting new patients

Locations

8700 US Highway 380
Ste 200
Cross Roads, TX 76227
Phone (940) 365-9400

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1366320665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 CARUTH LN",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093825",
            "telephone_number": "469-744-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNIVERSITY DR STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334801",
            "telephone_number": "972-236-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISTAND",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BOUYEA",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.