NPIMap

Individual provider Active NPI

Amanda Michelle Heibult, FNP-C

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1992304471
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995944-NP Issued in CO
Practice address
6069 S Southlands Pkwy
Aurora, CO 80016-5316
Phone
(303) 928-7555
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0995944-NP CO Primary

Addresses

Primary practice location

6069 S Southlands Pkwy
Aurora, CO 80016-5316

Mailing address

6069 S Southlands Pkwy
Aurora, CO 80016-5316
Phone (303) 928-7555

Other practice location 1

22047 E Ridge Trail Dr
Aurora, CO 80016-2668
Phone (720) 272-8495

Other practice location 2

602 N 6th St W
Cheyenne Wells, CO 80810-5125
Phone (719) 767-5661

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
I20210803001112 CO Practitioner - Nurse Practitioner 5294139903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health System 770 clinicians

Practice addresses (Care Compare)

6069 S Southlands Pkwy
SLNH Primary Care
Aurora, CO 80016-5316
Phone (303) 928-7555

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keefe Memorial Health Service District CurrentSince Jul 6, 2021 Accepting new patients
Keefe Memorial Health Service District CurrentSince Jul 6, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2023 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Adventhealth Primary Care RMR PastSince Aug 1, 2026 Accepting new patients

Locations

6069 S Southlands Pkwy
Aurora, CO 80016
Phone (303) 840-8780

6069 S Southlands Pkwy
Ste C
Aurora, CO 80016

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

602 N 6th St W
Cheyenne Wls, CO 80810
Phone (719) 767-5661

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: aheibult2049797@adventhealth.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1992304471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 S SOUTHLANDS PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165316",
            "telephone_number": "303-928-7555",
            "fax_number": "303-928-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 S SOUTHLANDS PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165316",
            "telephone_number": "303-928-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22047 E Ridge Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800162668",
            "country_code": "US",
            "telephone_number": "720-272-8495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N 6th St W",
            "address_purpose": "LOCATION",
            "city": "Cheyenne Wells",
            "state": "CO",
            "postal_code": "808105125",
            "country_code": "US",
            "telephone_number": "719-767-5661",
            "fax_number": "719-767-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIBULT",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995944-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.