Individual provider Active NPI

Heather Jan Matthies

  • Family Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1457794646
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017695 Issued in KY
Practice address
106 Market Place Cir
Georgetown, KY 40324-7400
Phone
(502) 868-6737
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017695 KY Primary
Nurse Practitioner 363L00000X ARNP9450003 FL

Addresses

Primary practice location

106 Market Place Cir
Georgetown, KY 40324-7400

Mailing address

106 Market Place Cir
Georgetown, KY 40324-7400

Other practice location 1

6314 N 9th Ave
Pensacola, FL 32504-7320
Phone (850) 416-4730

Other identifiers 2

IdentifierTypeStateIssuer
019763300MedicaidFL
H8TG8OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, OH, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170608002328 FL Practitioner - Nurse Practitioner 4880834472 Reassigns benefits to 1 organization
I20220926002099 KY Practitioner - Nurse Practitioner 4880834472 Reassigns benefits to 3 organizations
I20220926002206 OH Practitioner - Nurse Practitioner 4880834472 Reassigns benefits to 1 organization
I20250108000265 WV Practitioner - Nurse Practitioner 4880834472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLC 213 clinicians
St. Mary'S Medical Management, LLC 92 clinicians
Ramey-Estep Homes, Inc 8 clinicians

Practice addresses (Care Compare)

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

2827 5TH Ave
Huntington, WV 25702-1435
Phone (304) 399-7182

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

420 Martin Luther King Hwy
Maysville, KY 41056-8961
Phone (606) 375-4817

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9450003FLMDNurse Practitioner
3017695KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 1, 2024 Accepting new patients
Ramey-Estep Homes, Inc CurrentSince May 5, 2025 Accepting new patients
St. Mary'S Medical Management, LLC Nurse Practitioner CurrentSince Oct 12, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Sep 26, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 15, 2025 Accepting new patients
Baptist Urgent Care, LLC CurrentSince Nov 18, 2019 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Oct 12, 2024 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner Current Accepting new patients
Ramey-Estep Homes, Inc CurrentSince May 5, 2025 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations (25 of 34)

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5100 N 12th Ave
Ste 101
Pensacola, FL 32504
Phone (850) 208-6130

2237 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-4740

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

6314 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-4730

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

1430 N Main St
Beaver Dam, KY 42320
Phone (270) 775-4483

401 Main St
Benton, KY 42025
Phone (270) 906-0369

270 Bypass Rd
Brandenburg, KY 40108
Phone (270) 253-4050

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120

38 Broadway St
Dry Ridge, KY 41035
Phone (859) 300-0694

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

1000 W Park Dr
Lawrenceburg, KY 40342
Phone (502) 353-3417

757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186

333 S Main St
Leitchfield, KY 42754
Phone (270) 200-4983

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

919 N Main St
Madisonville, KY 42431
Phone (270) 228-0592

1251 Paris Rd
Mayfield, KY 42066
Phone (270) 356-1345

Organizations & group practices 13

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.

View all 13

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1457794646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MARKET PLACE CIR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403247400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MARKET PLACE CIR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403247400",
            "telephone_number": "502-868-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6314 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047320",
            "country_code": "US",
            "telephone_number": "850-416-4730",
            "fax_number": "850-416-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHIES",
        "first_name": "HEATHER",
        "middle_name": "JAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017695",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9450003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019763300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "H8TG8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.