Individual provider Active NPI

Heather H Janes, PA

  • Physician Assistant
  • Elizabethtown, KY
National Provider Identifier
1457618944
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1711 Issued in KY
Practice address
2333 Ring Rd
Elizabethtown, KY 42701-9162
Phone
(270) 737-4503
Fax
(270) 769-1978
NPI assigned
Apr 20, 2012
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 PA1711 KY Primary

Addresses

Primary practice location

2333 Ring Rd
Elizabethtown, KY 42701-9162

Mailing address

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

Other practice location 1

321 E Broadway St
Ste 101
Campbellsville, KY 42718-2003
Phone (270) 737-4503

Other names 1

  • Heather M Hill Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Heather.Janes@forefrontdermatology.emadirect.md
Direct Messaging Address Heather.Janes@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120730000369 KY Practitioner - Physician Assistant 7517123953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
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)

2333 Ring Rd
Elizabethtown, KY 42701-9162
Phone (270) 737-4503

501 S 2ND St
Louisville, KY 40202-2862
Phone (502) 583-7546

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
PA1711KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Nov 2, 2019 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Nov 2, 2019 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

321 E Broadway St
#101
Campbellsville, KY 42718
Phone (270) 737-4503

2333 Ring Rd
Elizabethtown, KY 42701
Phone (270) 737-4503

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

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

Interoperability endpoints

  • Direct secure messaging: heather.janes@forefrontdermatology.emadirect.md

Organizations & group practices 4

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1457618944",
    "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": "2333 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019162",
            "telephone_number": "270-737-4503",
            "fax_number": "270-769-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 E Broadway St",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427182003",
            "country_code": "US",
            "telephone_number": "270-737-4503",
            "fax_number": "270-769-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANES",
        "first_name": "HEATHER",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.Janes@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2333 Ring Rd",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427019162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.Janes@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "321 E Broadway St",
            "address_2": "Ste 101",
            "city": "Campbellsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427182003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HILL",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.