Kyle Heassler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

019504 Issued in NY

Practice address

33 Chandler Ave
Batavia, NY 14020-1684

Phone

(585) 343-9676

NPI assigned

Feb 3, 2016

Sex

Male

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 NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• United Memorial Medical Center

  • General Acute Care Hospital
  • Batavia, NY
  • NPI 1902800352
  Medicare reassignment NPD
• Brockport Medical Care PLLC

  • Urgent Care Clinic/Center
  • Brockport, NY
  • NPI 1477996353
  Medicare reassignment
• United Memorial Medical Center

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1669747085
  NPD
• Fraser - Branche Medical, PLLC

  • Specialist
  • Batavia, NY
  • NPI 1578949988
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1780042952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHANDLER AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201684",
            "telephone_number": "585-343-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHANDLER AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201684",
            "telephone_number": "585-343-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASSLER",
        "first_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "P00552",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kora Hauryski
• Nicole Hausfelder
• Nicole J Havens, R.N.
• Katlyn Leigh Hawks, LCSW
• Andrew Scott Hayes
• Merrill Benjamin Heddy, DPM
• Emily Hein, CPNP-PC
• Abigail Heineman, MHC
• Brian Daniel Hendrickson, DO
• Nancy H Hendrickson, LMSW

• Physician Assistant in Batavia, NY
• Providers in Batavia, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.