Individual provider Active NPI

Colleen Erin Heiby, PA-C

  • Medical Physician Assistant
  • Roseville, CA
National Provider Identifier
1407254162
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
52294 Issued in CA
Practice address
8735 Sierra College Blvd Ste 200
Roseville, CA 95661-5992
Phone
(916) 771-2531
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057237 PA
Medical Physician Assistant 363AM0700X 52294 CA Primary

Addresses

Primary practice location

8735 Sierra College Blvd Ste 200
Roseville, CA 95661-5992

Mailing address

858 42ND St
Sacramento, CA 95819-2726
Phone (607) 341-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161018001475 CA Practitioner - Physician Assistant 9537485743 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2055 Town Ctr PLZ
Suite G130
West Sacramento, CA 95691-5058
Phone (916) 887-7471

2537 Fair Oaks Blvd
Sacramento, CA 95825-7690
Phone (916) 887-4108

2800 L St
Sacramento, CA 95816-5616

2860 Del Paso Rd
Suite 100
Sacramento, CA 95834-9677
Phone (916) 887-7471

4010 Foothills Blvd
Suite 102
Roseville, CA 95747-7241
Phone (800) 972-5547

4810 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-4191
Phone (800) 972-5547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52294CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Nov 1, 2016 Accepting new patients
Sutter Valley Medical Foundation Physician Assistant CurrentSince May 1, 2024 Accepting new patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince May 1, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2024 Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

Interoperability endpoints

  • Direct secure messaging: chelby685264@hisp.ehr.sutterhealth.org
  • Direct secure messaging: cclarke319004@hisp.ehr.sutterhealth.org

Organizations & group practices 8

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1407254162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 42ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192726",
            "telephone_number": "607-341-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 SIERRA COLLEGE BLVD STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615992",
            "telephone_number": "916-771-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBY",
        "first_name": "COLLEEN",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057237",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.