Jennifer Louise Heiman, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hereford, TX
NPI 1366928640 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1366928640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP138123 (TX)
- Practice address
- 540 W 15TH St
Hereford, TX 79045-2820 - Phone
- (806) 364-2141
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaf Smith County Hospital District
Practice addresses (Care Compare)
540 W 15TH St
Hereford Health Clinic
Hereford, TX 79045-2820
Phone (806) 364-7512
Hospital & facility affiliations
- Bsa Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180911002349 | TX | Practitioner - Nurse Practitioner | 9830449909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaf Smith County Hospital District | Current |
Accepting new patients | |
| Deaf Smith County Hospital District | Current |
Accepting new patients |
Locations
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138123 | TX | Yes |
Addresses
Primary practice location
540 W 15TH St
Hereford, TX 79045-2820
Mailing address
PO Box 323
Nazareth, TX 79063-0323
Phone (806) 420-5688
Other providers in Hereford, TX
- Carlos O Geigel
- Shelley Montina Graham
- Karaesa Dionne Gudgell
- John E Hartin
- Kimberly Briar Head
- Hereford Dental PLLC
- Hereford I Enterprises, LLC
- Hereford Investment Group, LLC
- Hereford Isd
- Hereford Pharmacy, LLC
All providers in Hereford, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.