Active NPI
Angela Carol Heavner, CRNP
- Adult Health Nurse Practitioner
- Chillicothe, OH
National Provider Identifier
1871640417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN.CNP.08278
- Practice address
- 17273 State Route 104 BLDG 27
Chillicothe, OH 45601-9718 - Phone
- (740) 773-1141
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R168466 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.08278 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.08278 | OH | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 5003017 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 249462 | NC |
Addresses
Primary practice location
17273 State Route 104 BLDG 27
Chillicothe, OH 45601-9718
Mailing address
PO Box 1972
Chillicothe, OH 45601-5972
Phone (614) 226-8031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871640417 | Medicaid | NC | |
| NP2380 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20200518002066 | TX | Order and Referring Only - Nurse Practitioner | 6507877313 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodholme Gastroenterology Assoc PA | Past | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Ohio Gastroenterology Group, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1124197637
-
dba Levine Cancer Institute
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1033489687
-
- Gastroenterology Physician
- Baltimore, MD
- NPI 1700839347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1871640417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1972",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456015972",
"telephone_number": "614-226-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17273 STATE ROUTE 104 BLDG 27",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019718",
"telephone_number": "740-773-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVNER",
"first_name": "ANGELA",
"middle_name": "CAROL",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R168466",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.08278",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.08278",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5003017",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "249462",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871640417",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2380",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
- Kyle Adam Hazlett, DO
- Jessica Y He
- Healthworks Med Group of Ohio Corp., P.a. (Glatfelter Family Medical Center)
- Heartland of Chillicothe Oh, LLC (ProMedica Skilled Nursing and Rehabilitation (Chillicothe))
- Michelle Heasley
- Julie M Heddleson
- Jonathan Adam Heierman, PA-C
- Sherri Renae Heigley, RN
- Sara Hembree, RN
- Amy Nettie Hendershot, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.