Individual provider Active NPI

Sara A Van Heukelum, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1588328645
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182946 Issued in VA
Practice address
158 Front Royal Pike Ste 205
Winchester, VA 22602-4324
Phone
(540) 450-0334
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024182946 VA Primary

Addresses

Primary practice location

158 Front Royal Pike Ste 205
Winchester, VA 22602-4324

Mailing address

158 Front Royal Pike Ste 205
Winchester, VA 22602-4324
Phone (540) 450-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20211116002557 VA Practitioner - Nurse Practitioner 7911396775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PC 89 clinicians

Practice addresses (Care Compare)

158 Front Royal Pike
Suite 205
Winchester, VA 22602-4324
Phone (833) 356-4080

Merit-based Incentive Payment System (MIPS)

Final score
35.98 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
20
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Nov 1, 2021 Accepting new patients
Savida Health, PC CurrentSince Nov 1, 2021 Accepting new patients

Locations

525 Royal Pkwy
Unit 291943
Nashville, TN 37229

406 W Main St
#100
Abingdon, VA 24210
Phone (276) 356-0501

767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858

308 Westwood Office Park
Fredericksburg, VA 22401
Phone (833) 352-4080

316 Warren Ave
Ste 1
Front Royal, VA 22630
Phone (540) 456-2469

40 Lambert St
Ste 212
Staunton, VA 24401

158 Front Royal Pike
Ste 205
Winchester, VA 22602
Phone (540) 450-0334

4001 Prince William Pkwy
Ste 300
Woodbridge, VA 22192
Phone (703) 214-5825

Interoperability endpoints

  • Direct secure messaging: sara.van.heukelum.1@24804.direct.athenahealth.com

Organizations & group practices 7

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1588328645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FRONT ROYAL PIKE STE 205",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024324",
            "telephone_number": "540-450-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FRONT ROYAL PIKE STE 205",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024324",
            "telephone_number": "540-450-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HEUKELUM",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.