Individual provider Active NPI

Crystal Lynette Heck, ARNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1427302769
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019023267 Issued in MO
Practice address
3065 William St Ste 209
Cape Girardeau, MO 63703-6373
Phone
(573) 335-4100
Fax
(573) 339-7887
NPI assigned
Nov 8, 2012
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9278777 FL
Family Nurse Practitioner 363LF0000X 2019023267 MO Primary
Family Nurse Practitioner 363LF0000X 901943 MS

Addresses

Primary practice location

3065 William St Ste 209
Cape Girardeau, MO 63703-6373

Mailing address

1041 Shady LN
Jackson, MO 63755-2649
Phone (904) 614-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190903001999 MO Practitioner - Nurse Practitioner 6103155072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9278777FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstop One Inc CurrentSince Dec 15, 2025 Accepting new patients
Gulfport Wellness Center Inc Past Accepting new patients

Locations

3065 William St
Ste 209
Cpe Girardeau, MO 63703
Phone (573) 335-1779

Interoperability endpoints

  • Direct secure messaging: crystalheck@cfcl-mo.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1427302769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 SHADY LN",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552649",
            "telephone_number": "904-614-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 WILLIAM ST STE 209",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036373",
            "telephone_number": "573-335-4100",
            "fax_number": "573-339-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "CRYSTAL",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9278777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019023267",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.