ANDREA HEETER (PA-C, ATC) – Physician Assistant, NPI 1467509612
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for ANDREA HEETER (PA-C, ATC)
10550 Ray Road
Ponte Vedra, FL 32801
Phone: (904) 254-1311
Type: Location
Santo Domingo Health Center, Santo Domingo Boulevard, Santo Domingo, Minalin, Pampanga, Central Luzon, 2019, Philippines
85 HWY 22
SANTO DOMINGO, NM 87052
Phone: (505) 465-3060
Type: Mailing
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: 2017-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20171207000966 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 145 | 125 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 30 | 28 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 30 | 30 | $0 |
Insurance plans in this area (ZIP 32801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| - | AZ | |
| - | - | |
| - | AZ | |
| Certified Nurse Midwife (Cnm) | AZ | |
| - | MI | |
| - | CA | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NY | |
| Emergency Medicine | WI |
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