Individual provider Active NPI

Heather Anne Mahsman

  • Family Nurse Practitioner
  • Hannibal, MO
National Provider Identifier
1952968141
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019018507 Issued in MO
Practice address
141 Communication Dr
Hannibal, MO 63401-3670
Phone
(573) 603-1460
Fax
(573) 603-1462
NPI assigned
May 22, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019018507 MO Primary
Registered Nurse 163W00000X 2019013311 MO

Addresses

Primary practice location

141 Communication Dr
Hannibal, MO 63401-3670

Mailing address

3920 Oxford MNR
Quincy, IL 62305-8431
Phone (217) 430-3978

Other practice location 1

4600 McMasters Ave
Hannibal, MO 63401-2244
Phone (573) 603-1460

Other practice location 2

639 York St Rm 212
Quincy, IL 62301-3919
Phone (217) 222-6277

Other practice location 3

540 Harrison St
Quincy, IL 62301-7236
Phone (217) 222-6277

Other practice location 4

815 Elm St
Quincy, IL 62301-2365
Phone (217) 222-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210421000932 MO Practitioner - Nurse Practitioner 1456680552 Reassigns benefits to 1 organization
I20210427001658 IL Practitioner - Nurse Practitioner 1456680552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

639 York St
Quincy, IL 62301-3919
Phone (217) 224-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019013311MOMDRegistered Nurse
2019018507MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Jan 20, 2021 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jan 20, 2021 Accepting new patients
Preferred Family Healthcare, Inc Current Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Feb 24, 2021 Accepting new patients
Preferred Family Healthcare, Inc. Past Accepting new patients
Preferred Family Healthcare, Inc. Past Accepting new patients
Preferred Family Healthcare Inc Past Accepting new patients

Locations

418 S 36th St
Quincy, IL 62301
Phone (217) 224-6300

428 S 36th St
Quincy, IL 62301
Phone (217) 224-6300

540 Harrison St
Quincy, IL 62301
Phone (217) 222-6277

639 York St
Rm 212
Quincy, IL 62301
Phone (217) 222-6227

815 Elm St
Quincy, IL 62301
Phone (217) 222-6277

1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111

301 W Martin St
Cairo, MO 65239
Phone (660) 263-2788

141 Communication Dr
Hannibal, MO 63401
Phone (573) 795-7342

3531 Stardust Dr
Hannibal, MO 63401
Phone (573) 248-3900

4600 McMasters Ave
Hannibal, MO 63401

900 E Laharpe St
Kirksville, MO 63501

1625 Gratz Brown St
Moberly, MO 65270

420 N Washington St
Monroe City, MO 63456
Phone (573) 735-4631

725 Cleveland St
Paris, MO 65275

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

116 W 7th Ave
Ste 222
Stillwater, OK 74074
Phone (405) 743-2945

Interoperability endpoints

  • Direct secure messaging: heather.mahsman.p1@direct.pfh.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1952968141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 OXFORD MNR",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623058431",
            "telephone_number": "217-430-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 COMMUNICATION DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013670",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 McMasters Ave",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012244",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 York St Rm 212",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013919",
            "country_code": "US",
            "telephone_number": "217-222-6277",
            "fax_number": "217-214-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623017236",
            "country_code": "US",
            "telephone_number": "217-222-6277",
            "fax_number": "217-214-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Elm St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012365",
            "country_code": "US",
            "telephone_number": "217-222-6277",
            "fax_number": "217-214-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHSMAN",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019018507",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019013311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.