Individual provider Active NPI

Lou Ann Heckman, ARNP

  • Adult Health Nurse Practitioner
  • Port Richey, FL
National Provider Identifier
1730490087
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1407642 Issued in FL
Practice address
8220 US Highway 19
Port Richey, FL 34668-6639
Phone
(727) 841-8505
Fax
(727) 846-0561
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1407642 FL Primary

Addresses

Primary practice location

8220 US Highway 19
Port Richey, FL 34668-6639

Mailing address

3873 48TH Ave S
St Petersburg, FL 33711-4601
Phone (727) 709-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121128000626 FL Practitioner - Nurse Practitioner 1153573084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

7739 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone (352) 688-5544

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407642FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Dermatology and Cosmetic Surgery P a CurrentSince Apr 7, 2013 Accepting new patients
Kratz Allergy Asthma & Immunology Associates PA Past Accepting new patients

Locations

7739 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 503-2002

1009 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-5447

8202 Washington St
Ste 4
Port Richey, FL 34668
Phone (561) 254-0787

8220 US Highway 19
Port Richey, FL 34668
Phone (727) 841-8505

2525 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 585-8591

2525 Pasadena Ave S
Ste S
South Pasadena, FL 33707
Phone (727) 360-0853

1130 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-5544

7500 Gulf Blvd
Ste 8
St Pete Beach, FL 33706

125 4th Ave NE
St Petersburg, FL 33701
Phone (727) 585-8591

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1730490087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3873 48TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114601",
            "telephone_number": "727-709-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "LOU",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1407642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.