Individual provider Active NPI

Melissa Wanda Ma-Heiman, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1386267334
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79437-032 Issued in KS
Practice address
3211 S Seneca St
Wichita, KS 67217-3348
Phone
(316) 670-1582
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 13-98393-032 KS
Nurse Practitioner 363L00000X 79437 KS
Family Nurse Practitioner 363LF0000X 219617 OK
Family Nurse Practitioner 363LF0000X 53-79437-032 KS Primary

Addresses

Primary practice location

3211 S Seneca St
Wichita, KS 67217-3348

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other names 1

  • Melissa Wanda Ma-Heiman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201104001781 KS Practitioner - Nurse Practitioner 0446660344 Reassigns benefits to 1 organization
I20241113000171 OK Practitioner - Nurse Practitioner 0446660344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of Kansas LLCGroup PAC ID 7416268461, 35 clinicians

Practice addresses (Care Compare)

3211 S Seneca St
Wichita, KS 67217-3348
Phone (316) 670-1582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13-98393-032KSMDEmergency Registered Nurse
79437KSMDNurse Practitioner
53-79437-032KSMDFamily Nurse Practitioner
219617OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Medical LLC CurrentSince Nov 1, 2024 Accepting new patients
Little Clinic of Kansas LLC Family CurrentSince Jun 30, 2025 Accepting new patients

Locations

3211 S Seneca St
Wichita, KS 67217
Phone (316) 522-4545

4747 S Broadway Ave
Wichita, KS 67216
Phone (316) 524-4228

12806 E 86th Pl N
Ste A
Owasso, OK 74055
Phone (539) 208-5069

7901 N Owasso Expy
Owasso, OK 74055
Phone (539) 208-5069

Interoperability endpoints

  • Direct secure messaging: melissa.maheiman@krogerhealth.eclinicaldirectplus.com

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1386267334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173348",
            "telephone_number": "316-670-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA-HEIMAN",
        "first_name": "MELISSA",
        "middle_name": "WANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KS",
            "license": "13-98393-032",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "79437",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "219617",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79437-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MA-HEIMAN",
            "middle_name": "WANDA",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.