GREGORY HEISER (PA) – Nurse Practitioner, NPI 1053763672

GREGORY HEISER (PA) is a healthcare provider. based in Kettering, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PA. They hold a License No. APRN.CNP.019334 (OH). The NPI Number for GREGORY HEISER (PA) is 1053763672

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY HEISER (PA)
NPI
1053763672
Phone
(937) 395-8166
Address
3535 Southern Blvd
Enumeration Date
7 July 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9375489680
Graduation Year
2016 (10 years ago)
PAC ID
9335434356
Group Practice PAC ID
5698762235
Professional Enrollment ID
I20160829003230
Address ID
OH453311180GR5735XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for GREGORY HEISER (PA)

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • Family Health Services of Darke County, 5735, Meeker Road, Greenville, Darke County, Ohio, 45331, United States

    GREENVILLE, OH 453311180

    Phone: (937) 548-9680

    Fax: (937) 548-2087

    Type: Mailing

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: 2016-08-29

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
I20160829003230INurse PractitionerOHTBD

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
80053Blood test, comprehensive group of blood chemicals11391$0
84443Blood test, thyroid stimulating hormone (tsh)9087$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test8984$0
80061Blood test, lipids (cholesterol and triglycerides)7979$0
83036Hemoglobin a1c level7647$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 5698762235View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Family PracticeOH

Reviews

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Frequently asked questions

Where can patients find GREGORY HEISER (PA)'s NPI?
You can confirm GREGORY HEISER (PA) with NPI 1053763672; it appears in the national provider directory.
Is GREGORY HEISER (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize GREGORY HEISER (PA)'s specialty in plain language?
Clinically, the directory lists GREGORY HEISER (PA) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place GREGORY HEISER (PA)?
The snapshot lists Kettering, Ohio for GREGORY HEISER (PA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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