NPIMap

Individual provider Active NPI

Rachael Nicole Lee Heeren, PA-C

  • Physician Assistant
  • Greeley, CO
National Provider Identifier
1922692565
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006549 Issued in CO
Practice address
1801 16TH St
Greeley, CO 80631
Phone
(970) 810-3894
Fax
(970) 810-3897
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X PA.0006549 CO
Surgical Physician Assistant 363AS0400X PA.0006549 CO
Physician Assistant 363A00000X PA.0006549 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631

Mailing address

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-3894

Other practice location 1

11700 W 2nd Pl
MOB 2 Ste 210
Lakewood, CO 80228-1716
Phone (720) 321-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408001329 CO Practitioner - Physician Assistant 0648687731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

11700 W 2ND PL
210 Saas Gen Surg Sah
Lakewood, CO 80228-1716
Phone (720) 321-8080

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
79.21
Promoting interoperability
99
Improvement activities
40
Cost
77.28

Merit-based Incentive Payment System (MIPS)

Final score
95.91 of 100Reported as apm
Quality
86.22
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Aug 23, 2024 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince May 10, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2026 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 23, 2024 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince May 10, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2026 Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1800 15th St
Ste 130
Greeley, CO 80631
Phone (970) 350-5996

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

11700 W 2nd Pl
Ste 210
Lakewood, CO 80228
Phone (720) 321-8080

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 8

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1922692565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 W 2nd Pl",
            "address_2": "MOB 2 Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281716",
            "country_code": "US",
            "telephone_number": "720-321-8080",
            "fax_number": "720-321-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEEREN",
        "first_name": "RACHAEL",
        "middle_name": "NICOLE LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CO",
            "license": "PA.0006549",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0006549",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.