Individual provider Active NPI

Annabeth Cherie Heinz

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1942188172
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5382 Issued in OK
Practice address
3110 SW 89TH St Ste 102
Oklahoma City, OK 73159-7919
Phone
(405) 703-4950
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5382 OK Primary

Addresses

Primary practice location

3110 SW 89TH St Ste 102
Oklahoma City, OK 73159-7919

Mailing address

8013 NW 151St Cir
Edmond, OK 73013-6083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20251016005091 OK Practitioner - Physician Assistant 3779070248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

3110 SW 89TH St
Oklahoma City, OK 73159-7919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5382OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients

Locations

3110 SW 89th St
Ste 102
Oklahoma City, OK 73159
Phone (405) 703-4950

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

3110 SW 89th St
Ste 102C
Oklahoma City, OK 73159
Phone (405) 703-3611

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1942188172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 NW 151ST CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597919",
            "telephone_number": "405-703-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "ANNABETH",
        "middle_name": "CHERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.