Individual provider Active NPI

Steven James Heckel, PA-C

  • Physician Assistant
  • Coldwater, MI
National Provider Identifier
1386790111
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004265 Issued in MI
Practice address
360 E Chicago St Ste 104
Coldwater, MI 49036-2086
Phone
(517) 657-5230
Fax
(517) 657-5235
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 5601004265 MI Primary

Addresses

Primary practice location

360 E Chicago St Ste 104
Coldwater, MI 49036-2086

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Steven.Heckel@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120725000053 MI Practitioner - Physician Assistant 3072779768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1007 Harbor Hills Dr
Suite C
Marquette, MI 49855-8977
Phone (906) 225-5458

360 E Chicago St
Suite 104
Coldwater, MI 49036-2086
Phone (517) 657-5230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004265MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Mar 11, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Mar 11, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Lung Center, P.C. PastSince Apr 1, 2022 Accepting new patients

Locations

360 E Chicago St
Ste 104
Coldwater, MI 49036
Phone (517) 278-6240

4362 Cascade Rd SE
Ste 206
Grand Rapids, MI 49546
Phone (616) 678-2070

1007 Harbor Hills Dr
Ste C
Marquette, MI 49855
Phone (906) 225-5458

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386790111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E CHICAGO ST STE 104",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362086",
            "telephone_number": "517-657-5230",
            "fax_number": "517-657-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKEL",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Steven.Heckel@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "360 E Chicago St Ste 104",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490362086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.