Alyssa Phoebus Heiderman, CRNP-A

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R157837 Issued in MD

Practice address

510 Upper Chesapeake Dr
Suite 415
Bel Air, MD 21014-4328

Phone

(443) 463-3000

Fax

(443) 643-3001

NPI assigned

May 20, 2006

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Phoebus Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1962463265
  Medicare reassignment Care Compare group NPD
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• Center for Pain Management, LLC

  dba The Spine Center at the Center for Pain Management

  • Pain Clinic/Center
  • Rockville, MD
  • NPI 1386885119
  NPD (past)
• Corelife Health Services, Inc.

  • Family Medicine Physician
  • Severna Park, MD
  • NPI 1518339209
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1740234137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "443-643-3000",
            "fax_number": "443-643-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 415",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-463-3000",
            "fax_number": "443-643-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDERMAN",
        "first_name": "ALYSSA",
        "middle_name": "PHOEBUS",
        "name_prefix": "Ms.",
        "credential": "CRNP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R157837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PHOEBUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Heaps
• Natalie Hearn
• Andrew L Heath, MD
• Barbara Lynn Heese, MSCCCSLP
• Meredith Mertens Hegedus
• Dawn Heinbaugh, CNM
• Help for All Counseling Services, LLC
• Caresse Henderson
• Donald Lawrence Henderson
• Bernard Paul Hennigan Jr., LCPC

• Adult Health Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.