MRS. EMILY G HEFFINGER (CAA) – Anesthesiologist Assistant, NPI 1992761795

MRS. EMILY G HEFFINGER (CAA) is a healthcare provider. based in Jacksonville, Florida. specializing in Anesthesiologist Assistant. They hold the professional credentials CAA. They hold a License No. 1000-00588 (NC). The NPI Number for MRS. EMILY G HEFFINGER (CAA) is 1992761795

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EMILY G HEFFINGER (CAA)
NPI
1992761795
Phone
(904) 697-3600
Address
807 CHILDRENS WAY
Enumeration Date
21 April 2006
Last Update Date
16 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042022000
Graduation Year
2003 (23 years ago)
PAC ID
2860398476
Group Practice PAC ID
0345143152
Professional Enrollment ID
I20190412000071
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:20State licenses:4Digital endpointsOther names

Provider Addresses for MRS. EMILY G HEFFINGER (CAA)

  • 807 CHILDRENS WAY

    JACKSONVILLE, FL 322078426

    Phone: (904) 697-3600

    Fax: (904) 697-3927

    Type: Location

  • 10140 CENTURION PKWY N STE 130

    JACKSONVILLE, FL 322560532

    Phone: (904) 697-3600

    Type: Mailing

  • 3100, Spring Forest Road, Mini City, Raleigh, Wake County, North Carolina, 27616, United States

    SUITE 130

    RALEIGH, NC 276162880

    Phone: (919) 882-0795

    Type: Mailing

  • Blue Ridge Surgery Center, 2308, Wesvill Court, Raleigh, Wake County, North Carolina, 27607, United States

    RALEIGH, NC 276072949

    Phone: (919) 781-4311

    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: 2019-04-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190412000071IAnesthesiology AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345143152View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

Is there an official ID for MRS. EMILY G HEFFINGER (CAA) in U.S. healthcare records?
The official identifier for MRS. EMILY G HEFFINGER (CAA) is NPI 1992761795.
Would MRS. EMILY G HEFFINGER (CAA) appear as active to a payer?
You can treat MRS. EMILY G HEFFINGER (CAA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. EMILY G HEFFINGER (CAA)?
MRS. EMILY G HEFFINGER (CAA)'s record emphasizes Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. EMILY G HEFFINGER (CAA) located near Jacksonville?
MRS. EMILY G HEFFINGER (CAA) currently maps to Jacksonville, Florida in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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