Heather Ann Gotschall, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.020654 Issued in OH

Practice address

7954 Laura St NW
Massillon, OH 44646-9037

Phone

(330) 495-2355

NPI assigned

Sep 28, 2014

Last updated

May 21, 2020By the provider in NPPES

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circle of Life Healthcare LLC

  • Nurse Practitioner
  • Massillon, OH
  • NPI 1346869245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1871996496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 LAURA ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469037",
            "telephone_number": "330-495-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 LAURA ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469037",
            "telephone_number": "330-495-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSCHALL",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "APRN.CNS.16279",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE NURSE PRACTITIONER",
            "identifier": "COA.16297-NS",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Glew
• Daulphinia Arletta Glover, MA,CDCA
• Heidi Goik, PSY. S
• Chad Gooding, P.T.
• Emily Goodyear, LPCC, LICDC
• Mellissa Grace, PHARM D
• Tia Grant, LPN
• Brent Grass, APRN CNP
• Tara Gratton
• Wendy L Greco-Lepsky, RN

• Family Nurse Practitioner in Massillon, OH
• Providers in Massillon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.