HEEKYEONG MA (NP-C) – Nurse Practitioner, NPI 1649949777

HEEKYEONG MA (NP-C) is a healthcare provider. based in Natick, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN266575 (MA). The NPI Number for HEEKYEONG MA (NP-C) is 1649949777

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
HEEKYEONG MA (NP-C)
NPI
1649949777
Phone
(781) 715-5632
Address
226 POND ST UNIT 3
Enumeration Date
11 September 2021
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177392100
Graduation Year
2021 (5 years ago)
PAC ID
8628242252
Group Practice PAC ID
5799864393
Professional Enrollment ID
I20250922000036
Address ID
MA021245628DO2110XAVEX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for HEEKYEONG MA (NP-C)

  • 226 POND ST UNIT 3

    NATICK, MA 017604376

    Phone: (781) 715-5632

    Type: Mailing

  • 18 MILLDAM RD

    ACTON, MA 017205847

    Phone: (781) 715-5632

    Type: Mailing

  • 31 PINE ST STE 204

    NORFOLK, MA 020561680

    Phone: (617) 739-2100

    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: 2025-09-22

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
I20250922000036INurse PractitionerMATBD

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 01760)

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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: 5799864393View full group profile
NameSpecialtyState
N E P H R O L O G YMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
Nephrology, Internal MedicineMA
N E P H R O L O G YMA
Nephrology, Internal MedicineMA
N E P H R O L O G YMA
Nephrology, Internal MedicineMA
N E P H R O L O G YMA

Reviews

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Frequently asked questions

Is HEEKYEONG MA (NP-C) listed with a National Provider Identifier?
Yes — HEEKYEONG MA (NP-C) has NPI 1649949777 on file in the registry.
Would HEEKYEONG MA (NP-C) appear as active to a payer?
You can treat HEEKYEONG MA (NP-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe HEEKYEONG MA (NP-C)'s focus?
For HEEKYEONG MA (NP-C), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is HEEKYEONG MA (NP-C) registered?
Use Natick, Massachusetts as the headline location for HEEKYEONG MA (NP-C) here.
When was this NPI issued?
Enumeration for HEEKYEONG MA (NP-C) is noted as September 11, 2021 where the registry provides it.

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