Individual provider Active NPI

Jessica Nicole Heichel, CPNP-PC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1467080705
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704257279 Issued in MI
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

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713003116 MI Practitioner - Nurse Practitioner 0345642310 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704257279MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince May 17, 2021 Accepting new patients
Packard Health, Inc. CurrentSince May 17, 2021 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

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.