Alexandra Nicole Heeren (NPI# 1205226248, PAC ID# 7719205004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205226248 |
| PAC ID by PECOS | 7719205004 |
| Professional Enrollment ID | I20150416002403 |
| Full Name | Alexandra Nicole Heeren |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Address |
2921 Swwanamaker Dr Topeka KS 66614-5328 |
| Phone Number | 7852726860 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981592334 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170016 | ST FRANCIS HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2921 Swwanamaker Dr, Topeka, KS 66614-5328 | 7852726860 | KANSAS MEDICAL CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Carla K Skytta | Plastic and Reconstructive Surgery | Kansas Medical Clinic Pa | 6001 Sw6th Ave, Topeka, KS 66615-1011 |
| Majdy A Albahhar | Dermatology | Kansas Medical Clinic Pa | 4201 Anderson Ave, B2, Manhattan, KS 66503-7603 |
| Cecil J Fackrell | Physician Assistant | Kansas Medical Clinic Pa | 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 |
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| James V Allen | Dermatology | Kansas Medical Clinic Pa | 11301 Nall Ave, Suite 205, Leawood, KS 66211-1672 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Walter A Dean | Physician Assistant | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Laura L Welborn | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Street Address |
2921 SWWANAMAKER DR |
| City | TOPEKA |
| State | KS |
| Zip | 66614-5328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah S Buthorne | Nurse Practitioner | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| David W Martell | Dermatology | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Joseph E Gadzia | Dermatology | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Michael J Kucenic | Dermatology | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Willard W Scamman | Pathology | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanja N Roth | Certified Clinical Nurse Specialist (cns) | 3601 Sw29th St, Suite 124, Topeka, KS 66614 | |
| Tiffany E Davidson | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Joshua W Freeman | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Piper M Hower | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Crystal J Sciarrino | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Lynda D Johnson | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Lisa L Ellis | Clinical Social Worker | 3601 Sw 29th St, Suite 108, Topeka, KS 66614-2015 | |
| Renata H Coleman | Clinical Social Worker | 3601 Sw 29th St, Suite 105, Topeka, KS 66614-2015 | |
| Rhonda L Halverson | Clinical Social Worker | 3601 Sw 29th St, Suite 117, Topeka, KS 66614-2015 | |
| Brent D Cain | Clinical Social Worker | 3601 Sw 29th St, Suite 110, Topeka, KS 66614-2015 | |
| Find all physicians in zip 66614 | |||
| City | TOPEKA |
| Zip Code | 66614 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TOPEKA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.