Millicent Mae Heisner

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP140187 Issued in TX

Practice address

408 W 45TH St
Austin, TX 78751-3014

Phone

(512) 320-1500

Fax

(512) 459-1399

NPI assigned

Jan 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJDCCD

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.

• Austin Kidney Associates PA

  • Nephrology Physician
  • Austin, TX
  • NPI 1154669331
  Medicare reassignment NPD
• Austin Kidney Associates, P. a.

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1801317904
  NPD
• Devoted Medical Group of Texas Inc

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1982202800
  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1407320641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HIGHLAND MALL BLVD STE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523746",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISNER",
        "first_name": "MILLICENT",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP140187",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Michael Heinzman, MD
• Susan Heisel, LCSW, LMFT
• Heiser Counseling
• Rachel Heisman, CNM
• Madeline Averly Heisner
• Sharon Brinker Heiss, CRNA
• Chad Andrew Hejl, LCSW
• Antonia Rose Helbling, M.D.
• Anuradha Santosh Helekar, MD
• Sadaf Helforoosh

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.