Andrea L Heckendorf, APRN, FNP-C
Individual provider Active NPI Dermatology Physician · Danielson, CT
NPI 1477077469 · NPPES record last updated Feb 25, 2026
Key facts
- NPI
- 1477077469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 7127 (CT)
- Practice address
- 55 Green Hollow Rd
Danielson, CT 06239-3533 - Phone
- (860) 779-1865
- Fax
- (860) 779-3820
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Day Kimball Medical Group Inc
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Hospital & facility affiliations
- Day Kimball Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171028000058 | CT | Practitioner - Nurse Practitioner | 5193091684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7127 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Medical Group Inc | Dermatology | Current |
Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
55 Green Hollow Rd
Danielson, CT 06239
Phone (860) 774-1350
612 Hartford Pike
Dayville, CT 06241
Phone (860) 779-0284
12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150
320 Pomfret St
#2
Putnam, CT 06260
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Interoperability endpoints
- andrea.heckendorf.4@1694.direct.athenahealth.com
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7127 | CT | |
| Dermatology Physician | 207N00000X | 7127 | CT | Yes |
Addresses
Primary practice location
55 Green Hollow Rd
Danielson, CT 06239-3533
Mailing address
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Other providers in Danielson, CT
- Lori C Hall
- Ishma R Harris
- Haven Health Center of Danielson, LLC
- Nicole Marie Hayes
- Sarah Hebert
- Yvonne Hnat
- Kim M Hopkins
- Mariah Hornsby
- Pamela J Howell
- Sarah Hubert
All providers in Danielson, CT · Dermatology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.