MS. THERESA A. HEFFERNAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144399957
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. THERESA A. HEFFERNAN (CRNA)
160 NW 170TH ST
NORTH MIAMI BEACH, FL 331695521
Phone: (305) 654-3041
Type: Location
185, Penny Avenue, East Dundee, Kane County, Illinois, 60118, United States
EAST DUNDEE, IL 601181454
Phone: (847) 836-7015
Type: Mailing
1200, Maple Road, East Joliet, Joliet, Will County, Illinois, 60432, United States
JOLIET, IL 604321439
Phone: (815) 740-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
3
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061117000363 | I | Certified Registered Nurse Anesthetist (Crna) | IL | 2023-10-31 |
| I20210106000284 | I | Certified Registered Nurse Anesthetist (Crna) | ME | TBD |
| I20231121003430 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL |
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