MAURY ROSE HEFELE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083377238

MAURY ROSE HEFELE (PMHNP-BC) is a healthcare provider. based in Osage beach, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 34611 (TN). The NPI Number for MAURY ROSE HEFELE (PMHNP-BC) is 1083377238

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MAURY ROSE HEFELE (PMHNP-BC)
NPI
1083377238
Phone
(573) 673-4585
Address
38 BUOYANT PL
Enumeration Date
14 October 2021
Last Update Date
9 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8328694818235
Graduation Year
2021 (5 years ago)
PAC ID
0244765659
Group Practice PAC ID
0345573598
Professional Enrollment ID
I20250910001961
Address ID
FL336147160TA4700XAVEX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:4State licenses:6Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MAURY ROSE HEFELE (PMHNP-BC)

  • 38 BUOYANT PL

    OSAGE BEACH, MO 650653162

    Phone: (573) 673-4585

    Mailing address matches the actual address.

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: 2026-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 12 Medicare enrollment records; no due dates published yet.

Enrollment records

12

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
I20241121004419INurse PractitionerMOTBD
I20241127004234INurse PractitionerTXTBD
I20250307001066INurse PractitionerNVTBD
I20250418002095INurse PractitionerTNTBD
I20250421002684INurse PractitionerILTBD
I20250428004356INurse PractitionerAZTBD
I20250910001961INurse PractitionerFLTBD
I20251031003787INurse PractitionerINTBD
I20251201000432INurse PractitionerKYTBD
I20251215002797INurse PractitionerSCTBD
I20251223002370INurse PractitionerMITBD
I20260129000405INurse PractitionerNMTBD

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 65065)

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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: 0345573598View full group profile
NameSpecialtyState
Physician AssistantIL
Nurse PractitionerIN
P S Y C H I A T R YTX
Nurse PractitionerIN
Physician AssistantSC
Nurse PractitionerIN
Physician AssistantSC
Physician AssistantTX
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is MAURY ROSE HEFELE (PMHNP-BC) listed with a National Provider Identifier?
Yes — MAURY ROSE HEFELE (PMHNP-BC) has NPI 1083377238 on file in the registry.
Is MAURY ROSE HEFELE (PMHNP-BC) still an active registrant?
MAURY ROSE HEFELE (PMHNP-BC) carries an active NPI according to the public dataset.
What kind of doctor is MAURY ROSE HEFELE (PMHNP-BC)?
MAURY ROSE HEFELE (PMHNP-BC) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MAURY ROSE HEFELE (PMHNP-BC)?
Travel planning: use Osage Beach, Missouri as the reference point for MAURY ROSE HEFELE (PMHNP-BC), then confirm.
When was this NPI issued?
Enumeration for MAURY ROSE HEFELE (PMHNP-BC) is noted as October 14, 2021 where the registry provides it.