Heather Anne Neil, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2003-0017 Issued in NM

Practice address

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111

Phone

(505) 820-1482

NPI assigned

Nov 21, 2006

Last updated

Jan 30, 2024By 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 names 1

• Heather Anne Neil Other name

Medicare fee-for-service enrollment

Enrolled in NM

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

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Full Circle Healing Family Practice, LLCGroup PAC ID 7618913435, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Full Circle Healing Family Practice, LLC

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1134230287
  Medicare reassignment Care Compare group Authorized official
• Patrick Okeefe Chiropractic Inc

  • Chiropractor
  • Santa Fe, NM
  • NPI 1992072243
  NPD

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

• St Vincent Hospital

  dba CHRISTUS St. Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1942375357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Saint Michaels Dr",
            "address_2": "Suite 1104",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057619",
            "country_code": "US",
            "telephone_number": "505-820-2562",
            "fax_number": "505-795-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIL",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2003-0017",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NM",
            "license": "PA2003-0017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "NEIL",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amelia Bennett Neal
• Christopher Neal
• Edward Joseph Neidhardt, MD
• Neighborhood Therapy
• Brenda Jo Neikirk, RN FNP-BC
• Susan Nelsen, LISW
• Elizabeth Page Nelson
• Frances Elizabeth Nelson, LPC
• Kate Elizabeth Nelson, FNP-BC
• Scott Nelson, MD

• Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.