JEFFREY D HEESE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1396787545

JEFFREY D HEESE (CRNA) is a healthcare provider. based in Rolla, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 72284 (TX). The NPI Number for JEFFREY D HEESE (CRNA) is 1396787545

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY D HEESE (CRNA)
NPI
1396787545
Phone
(210) 633-6110
Address
499 COUNTRYSIDE DR
Enumeration Date
12 June 2006
Last Update Date
26 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734588899
Graduation Year
2003 (23 years ago)
PAC ID
8426045204
Group Practice PAC ID
2860391158
Professional Enrollment ID
I20050217000827
Address ID
MO654012905RO1050XSTXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for JEFFREY D HEESE (CRNA)

  • 499, Countryside Drive, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654014722

    Phone: (210) 633-6110

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($25).

Total Amount

$93

General + Research + Ownership

Payments

5

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2005-02-17

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
I20050217000827ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00142Anesthesia for lens surgery6155$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00813Anesthesia for procedure on small and large bowel using an endoscope2121$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2019$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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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: 2860391158View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
Internal MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
-MO
Internal MedicineIL
Hospitalist, Internal MedicineAR
Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

What federal number belongs to JEFFREY D HEESE (CRNA)?
The federal identifier for JEFFREY D HEESE (CRNA) is NPI 1396787545.
Is JEFFREY D HEESE (CRNA)'s NPI currently valid?
The extract we use shows JEFFREY D HEESE (CRNA) as active.
What kind of provider is JEFFREY D HEESE (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for JEFFREY D HEESE (CRNA). Clinical services aligned with this taxonomy classification.
Where is JEFFREY D HEESE (CRNA)'s primary listing?
We display Rolla, Missouri because that is what the record indicates for JEFFREY D HEESE (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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