Individual provider Active NPI

Julie Anne Heimann, PA-C

  • Surgical Physician Assistant
  • Greenwood, IN
National Provider Identifier
1689765927
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10000828A Issued in IN
Practice address
701 East County Line Road
Suite 201
Greenwood, IN 46143
Phone
(317) 865-8000
Fax
(317) 865-8012
NPI assigned
Sep 28, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10000828A IN Primary

Addresses

Primary practice location

701 East County Line Road
Suite 201
Greenwood, IN 46143

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Other practice location 1

8711 US 31 S
Indianapolis, IN 46227-6252
Phone (317) 887-7771

Other identifiers 4

IdentifierTypeStateIssuer
000000380227OtherINANTHEM PIN
11513744OtherINCAQH ID
P01751338OtherINRR MEDICARE
300005464MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jheimann30750@eCommunityDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20051018000511 IN Practitioner - Physician Assistant 8022034271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113

1402 E County Rd S
Suite 2400
Indianapolis, IN 46227-0963
Phone (317) 497-6666

1440 E County Line Rd
Indianapolis, IN 46227-0963

701 E County Line Rd
Suite 201
Greenwood, IN 46143-1071
Phone (317) 865-8000

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

8711 US 31
Indianapolis, IN 46227-6252
Phone (317) 887-7771

8715 US
Suite 31
Indianapolis, IN 46227-6252
Phone (317) 497-6721

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000828AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Sep 30, 2012 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 30, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

701 E County Line Rd
Ste 201
Greenwood, IN 46143
Phone (317) 865-8000

1550 E County Line Rd
Ste 315
Indianapolis, IN 46227
Phone (317) 497-6888

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8711 US 31
Indianapolis, IN 46227
Phone (317) 887-7771

Interoperability endpoints

  • Direct secure messaging: jheimann30750@ecommunitydirect.com

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1689765927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST COUNTY LINE ROAD",
            "address_2": "SUITE 201",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46143",
            "telephone_number": "317-865-8000",
            "fax_number": "317-865-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8711 US 31 S",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462276252",
            "country_code": "US",
            "telephone_number": "317-887-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMANN",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000828A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000380227",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11513744",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01751338",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300005464",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jheimann30750@eCommunityDirect.com",
            "affiliation": "Y",
            "address_1": "8711 US 31 S",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462276252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.