Individual provider Active NPI

Jessica L. Heaton, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1770852170
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003745 Issued in OH
Practice address
4355 Ferguson Dr
Cincinnati, OH 45245-5136
Phone
(513) 232-2663
Fax
(859) 817-7848
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.004192 IL
Physician Assistant 363A00000X 50.003745 OH Primary

Addresses

Primary practice location

4355 Ferguson Dr
Cincinnati, OH 45245-5136

Mailing address

560 S Loop Rd Ste 500
Edgewood, KY 41017-3405
Phone (859) 301-2663

Other practice location 1

8251 Pine Rd Ste 212
Cincinnati, OH 45236-2194
Phone (513) 232-2663

Other practice location 2

6620 Clough Pike
Cincinnati, OH 45244-4053
Phone (513) 232-2663

Other names 1

  • Jessica L Kirkpatrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130612000446 OH Practitioner - Physician Assistant 1052568235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthocincy Orthopaedics and Sports Medicine PSC 163 clinicians
Oxford Physical Therapy and Rehabilitation 432 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 630
Cincinnati, OH 45219-2906
Phone (859) 301-2663

7567 Central Parke Blvd
Mason, OH 45040-6852

7910 Beechmont Ave
Cincinnati, OH 45255-4210
Phone (513) 232-2663

8251 Pine Rd
Suite 212
Cincinnati, OH 45236-2194
Phone (513) 232-2663

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.004192ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocincy Orthopaedics & Sports Medicine PSC CurrentSince Feb 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Physician Assistant CurrentSince Sep 10, 2013 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physician Assistant CurrentSince Feb 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Sep 10, 2013 Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Past Accepting new patients

Locations

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

560 S Loop Rd
Ste 500
Edgewood, KY 41017

4701 Creek Rd
Ste 110
Blue Ash, OH 45242
Phone (513) 733-8894

2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970

6620 Clough Pike
Cincinnati, OH 45244
Phone (513) 221-2663

8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4355 Ferguson Dr
Cincinnati, OH 45245
Phone (513) 221-2663

4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245
Phone (513) 753-7488

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

7910 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 474-8600

8737 Union Centre Blvd
West Chester, OH 45069
Phone (513) 645-2220

Organizations & group practices 19

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.

View all 19

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1770852170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD STE 500",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-817-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 FERGUSON DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455136",
            "telephone_number": "513-232-2663",
            "fax_number": "859-817-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8251 Pine Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362194",
            "country_code": "US",
            "telephone_number": "513-232-2663",
            "fax_number": "859-817-7848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6620 Clough Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452444053",
            "country_code": "US",
            "telephone_number": "513-232-2663",
            "fax_number": "859-817-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATON",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004192",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KIRKPATRICK",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.