Individual provider Active NPI

Heidi Marie Prockish, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1376308486
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-82904-091 Issued in KS
Practice address
5120 SW 28TH St
Topeka, KS 66614-2321
Phone
(785) 408-5800
Fax
(785) 730-8700
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-82904-091 KS
Nurse Practitioner 363L00000X 53-82904-091 KS Primary
Pediatric Nurse Practitioner 363LP0200X 82904 KS
Primary Care Nurse Practitioner 363LP2300X 53-82904-091 KS

Addresses

Primary practice location

5120 SW 28TH St
Topeka, KS 66614-2321

Mailing address

5120 SW 28TH St
Topeka, KS 66614-2321
Phone (785) 408-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20251119004360 KS Practitioner - Nurse Practitioner 6204328016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ricks Advanced Dermatology and Skin Surgery PAGroup PAC ID 7315241577, 7 clinicians

Practice addresses (Care Compare)

5120 SW 28TH St
Topeka, KS 66614-2321
Phone (785) 408-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-82904-091KSMDNurse Practitioner
82904KSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ricks Advanced Dermatology & Skin Surgery, PA CurrentSince Dec 15, 2025 Accepting new patients
Pediatric Associates of Topeka, P.a. PastSince Mar 30, 2025 Accepting new patients

Locations

5120 SW 28th St
Topeka, KS 66614
Phone (785) 408-5800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1376308486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCKISH",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82904-091",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82904-091",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "82904",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-82904-091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.