Active NPI
Jessica Nicole Heichel, CPNP-PC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704257279
- Practice address
- 2650 Carpenter Rd
Ann Arbor, MI 48108-1108 - Phone
- (734) 971-1073
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704257279 | MI | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 4704257279 | MI |
Addresses
Primary practice location
2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Mailing address
7729 Brass Creek CT
Dexter, MI 48130-9384
Phone (517) 474-5334
Other practice location 1
7729 Brass Creek Ct
Dexter, MI 48130-9384
Phone (517) 474-5334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704257279 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Packard Health, Inc. | Current | Accepting new patients | |
| Packard Health, Inc. | Current | Accepting new patients |
Locations
5200 Venture Dr
Ann Arbor, MI 48108
Phone (734) 971-1073
2650 Carpenter Rd
Ann Arbor, MI 48108
Phone (734) 926-4921
3174 Packard St
Ann Arbor, MI 48108
Phone (734) 971-1073
200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200
Interoperability endpoints
- https://arrprd.metrohealth.net/fhir/api/FHIR/R4
- jheichel713941@direct.hfhs.org
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 and National Provider Directory roles.
-
- Clinic/Center
- Ann Arbor, MI
- NPI 1609988245
-
- Federally Qualified Health Center (FQHC)
- Ypsilanti, MI
- NPI 1205538584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1467080705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7729 BRASS CREEK CT",
"city": "DEXTER",
"state": "MI",
"postal_code": "481309384",
"telephone_number": "517-474-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 CARPENTER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081108",
"telephone_number": "734-971-1073"
}
],
"practiceLocations": [
{
"address_1": "7729 Brass Creek Ct",
"address_purpose": "LOCATION",
"city": "Dexter",
"state": "MI",
"postal_code": "481309384",
"country_code": "US",
"telephone_number": "517-474-5334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEICHEL",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "CPNP-PC, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704257279",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704257279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.