AMANDA HEISEL (NP-C) – Primary Care Nurse Practitioner, NPI 1073041760

AMANDA HEISEL (NP-C) is a healthcare provider. based in Labadie, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 2017010492 (MO). The NPI Number for AMANDA HEISEL (NP-C) is 1073041760

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA HEISEL (NP-C)
NPI
1073041760
Phone
(314) 974-5017
Address
197 CREEK BOTTOM RD
Enumeration Date
25 May 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362395155
Graduation Year
2016 (10 years ago)
PAC ID
3678841228
Group Practice PAC ID
5395768253
Professional Enrollment ID
I20170622002230
Address ID
MO630904700WA901XXDRXX417
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for AMANDA HEISEL (NP-C)

  • 197 CREEK BOTTOM RD

    LABADIE, MO 630551121

    Phone: (314) 974-5017

    Type: Mailing

  • 621 S New Ballas Rd Ste 189A

    Saint Louis, MO 631418255

    Phone: (314) 690-2581

    Fax: (314) 251-5864

    Type: Location

  • Patients First Drive, Downtown Washington, Washington, Franklin County, Missouri, 63090, United States

    WASHINGTON, MO 630904700

    Phone: (636) 239-5155

    Fax: (636) 239-1478

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $602.

Total Amount is formed as General ($602) + Research ($0) + Ownership ($0) = $602.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: COLOPLAST CORP ($385).

Total Amount

$602

General + Research + Ownership

Payments

44

Total payment records

General Amount

$602

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-06-22

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
I20170622002230INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes179145$0
81003Automated urinalysis test176122$0
51702Simple insertion of temporary bladder tube7011$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
51798Ultrasound measurement of bladder capacity after voiding4540$0
View full utilization report →

Insurance plans in this area (ZIP 63055)

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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: 5395768253View full group profile
NameSpecialtyState
U R O L O G YIL
U R O L O G YMO
-MO
Physician AssistantGA
U R O L O G YMO
Physician AssistantMO
U R O L O G YMO
U R O L O G YMO
-MO
Physician AssistantMO

Reviews

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Frequently asked questions

Is AMANDA HEISEL (NP-C) listed with a National Provider Identifier?
Yes — AMANDA HEISEL (NP-C) has NPI 1073041760 on file in the registry.
Is there an active status for AMANDA HEISEL (NP-C)?
For scheduling context, AMANDA HEISEL (NP-C) is shown as active in the registry.
What clinical focus is listed for AMANDA HEISEL (NP-C)?
At a glance, AMANDA HEISEL (NP-C) is tied to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AMANDA HEISEL (NP-C) associated with Labadie?
Public fields place AMANDA HEISEL (NP-C) around Labadie, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for AMANDA HEISEL (NP-C) is noted as May 25, 2017 where the registry provides it.

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