Active NPI
Evan W Heck, PA-C
- Physician Assistant
- Columbia, MO
National Provider Identifier
1801751698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2026006829
- Practice address
- 2011 Corona Rd Ste 207
Columbia, MO 65203-2548 - Phone
- (573) 234-1000
- Fax
- (573) 234-1771
- NPI assigned
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2026006829 | MO | Primary |
Addresses
Primary practice location
2011 Corona Rd Ste 207
Columbia, MO 65203-2548
Mailing address
2011 Corona Rd Ste 207
Columbia, MO 65203-2548
Phone (573) 234-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527000454 | MO | Practitioner - Physician Assistant | 4688144033 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2011 Corona Rd
Suite 207
Columbia, MO 65203-2548
4240 Blue Ridge Blvd
Suite 210
Kansas City, MO 64133-1717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026006829 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayce Dermatology Center and Medical Spa, PC | Current | Accepting new patients |
Locations
2011 Corona Rd
Ste 207
Columbia, MO 65203
Phone (573) 234-1000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1801751698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 CORONA RD STE 207",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032548",
"telephone_number": "573-234-1000",
"fax_number": "573-234-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 CORONA RD STE 207",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032548",
"telephone_number": "573-234-1000",
"fax_number": "573-234-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "EVAN",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-23",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2026006829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.