Active NPI
Marie-Paule Simone Heylen, ANP-C
- Adult Health Nurse Practitioner
- Potsdam, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306058-1
- Practice address
- 6805 US Highway 11
Potsdam, NY 13676-3131 - Phone
- (315) 265-3105
- Fax
- (315) 265-0323
- NPI assigned
- Aug 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306058-1 | NY | Primary |
Addresses
Primary practice location
6805 US Highway 11
Potsdam, NY 13676-3131
Mailing address
6805 US Highway 11
Potsdam, NY 13676-3131
Phone (315) 265-3105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03497023 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306058-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health Me, LLC | Current | Accepting new patients | |
| Bridge Health PLLC | Current | Accepting new patients | |
| Garumuni Anura Desilva, MD PC | Current | Accepting new patients | |
| Hospice of St Lawrence Valley Inc | Current | Accepting new patients |
Locations
14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
180 Low St
Newburyport, MA 01950
Phone (978) 465-5361
188 Eastern Ave
Augusta, ME 04330
Phone (207) 622-3121
323 State St
Ste 5
Augusta, ME 04330
Phone (207) 370-6470
370 Portland St
Yarmouth, ME 04096
Phone (207) 846-9021
307 Plaza Dr
Dover, NH 03820
Phone (207) 775-4000
170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689
20 E Sunrise Hwy
Fl 2
Valley Stream, NY 11581
Phone (516) 543-6249
10125 Verree Rd
Ste 202
Philadelphia, PA 19116
Phone (215) 302-2003
Interoperability endpoints
- mheylen@hiemail.healtheconnections.org
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Syosset, NY
- NPI 1427793629
-
dba Hospice and Palliative Care of St. Lawrence Valley, Inc
- Community Based Hospice Care Agency
- Potsdam, NY
- NPI 1497758080
-
- Nurse Practitioner
- Yarmouth, ME
- NPI 1518432574
-
- Nurse Practitioner
- Orange, CT
- NPI 1730694316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1891042644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 US HIGHWAY 11",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136763131",
"telephone_number": "315-265-3105",
"fax_number": "315-265-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 US HIGHWAY 11",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136763131",
"telephone_number": "315-265-3105",
"fax_number": "315-265-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYLEN",
"first_name": "MARIE-PAULE",
"middle_name": "SIMONE",
"name_prefix": "Mrs.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-11",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306058-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03497023",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.