NPIMap

Individual provider Active NPI

Jaimie Lynn Heckman, CRNP

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1619365368
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015618 Issued in PA
Practice address
1320 Broadcasting Rd
Wyomissing, PA 19610-3222
Phone
(484) 336-8477
NPI assigned
Jan 5, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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 SP015618 PA Primary
Urology Registered Nurse 163WU0100X RN521585L PA

Addresses

Primary practice location

1320 Broadcasting Rd
Wyomissing, PA 19610-3222

Mailing address

715 Ridge Rd
Shoemakersville, PA 19555-9037
Phone (484) 336-8477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000161 PA Practitioner - Nurse Practitioner 3476855388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1320 Broadcasting Rd
Suite 200
Reading, PA 19610-3222
Phone (610) 372-8995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
79.68
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN521585LPAMDUrology Registered Nurse
SP015618PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Urologic Care of Berks Co PC CurrentSince Nov 23, 2015 Accepting new patients

Locations

1320 Broadcasting Rd
Wyomissing, PA 19610
Phone (484) 336-8477

1320 Broadcasting Rd
Ste 200
Wyomissing, PA 19610
Phone (610) 372-8995

Interoperability endpoints

  • Direct secure messaging: jaimieheckman@cucbc.medalliesdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1619365368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 RIDGE RD",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195559037",
            "telephone_number": "484-336-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "484-336-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "JAIMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015618",
            "primary": true
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "PA",
            "license": "RN521585L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.