Heather Lee Pollet, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-77703 Issued in KS

Practice address

1400 W 4TH St
Coffeyville, KS 67337-3306

Phone

(620) 252-1639

Fax

(620) 252-1541

NPI assigned

Jun 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

University of Oklahoma College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hpollet@direct.crmcinc.org

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.

• Coffeyville Regional Medical Center Inc

  • Anesthesiology Physician
  • Coffeyville, KS
  • NPI 1265550891
  Medicare reassignment NPD
• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Medicare reassignment NPD
• Coffeyville Regional Medical Center, Inc

  • Family Medicine Physician
  • Coffeyville, KS
  • NPI 1407147903
  NPD
• Coffeyville Regional Medical Center Inc

  • Rural Health Clinic/Center
  • Coffeyville, KS
  • NPI 1053862805
  NPD (past)

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

• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Care Compare affiliation

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1639607781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 207-50",
            "city": "S COFFEYVILLE",
            "state": "OK",
            "postal_code": "740729754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "620-252-1639",
            "fax_number": "620-252-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLET",
        "first_name": "HEATHER",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "KS",
            "license": "14-88134-091",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry D Phipps, CRNA
• PHS KS Moirai LLC
• PHS KS Moirai LLC
• Carrie Ann Pitts
• Plaza Pharmacy Inc
• Jimmy Lee Powell
• Terry Douglas Powell, MD
• Prescription Shop Inc
• Prescription Shop, Inc
• Brenda Louise Pursley, RPA-C

• Family Nurse Practitioner in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.