Kristen Ruth Heavens, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024362 Issued in NY

Practice address

36000 Darnall Loop
Fort Hood, TX 76544-5095

Phone

(254) 287-4305

Fax

(254) 553-3063

NPI assigned

Dec 6, 2018

Sex

Female

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avalon Medical Center, LLCGroup PAC ID 2769827179, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: kheavens@hiemail.healtheconnections.org

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.

• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Chester, NY
  • NPI 1285893719
  Medicare reassignment
• Somers Orthopaedic Surgery & Sports Medicine Group PLLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Carmel, NY
  • NPI 1720028384
  Medicare reassignment
• Avalon Medical Center, LLC

  • Clinic/Center
  • New Windsor, NY
  • NPI 1003591447
  Care Compare group NPD (past)
• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sleepy Hollow, NY
  • NPI 1619136140
  NPD
• Somers Orthopaedic Surgery & Sports Medicine Group PLLC

  • Specialist
  • Fishkill, NY
  • NPI 1437455847
  NPD

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1871064592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIARCLIFF DR S UNIT 2",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105622339",
            "telephone_number": "860-485-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-287-4305",
            "fax_number": "254-553-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Main St",
            "address_purpose": "LOCATION",
            "city": "Ossining",
            "state": "NY",
            "postal_code": "105624702",
            "country_code": "US",
            "telephone_number": "860-485-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAVENS",
        "first_name": "KRISTEN",
        "middle_name": "RUTH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Hayden, MSW, LCSW
• Ginger Kay Hayes, WHNP
• Weston Michael Hayes, LCSW
• Hunter Alvert Hearn, M.D.
• Joanna C Heart, MSW, LCSW-S
• Brent E Heber, CRNA
• Neil Hedden, PA-C
• Jennifer M Hein, MD
• Bernard Joseph Hennessy, DDS
• Dusti Renae Henrichs, PHARM D

• Physician Assistant in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.