KOURTNEY LYNN HEITKAMP (CNP) – Nurse Practitioner, NPI 1558953943
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KOURTNEY LYNN HEITKAMP (CNP)
760 CLIFTON RD
XENIA, OH 453859457
Phone: (937) 545-7905
Type: Mailing
1550 YANKEE PARK PL
DAYTON, OH 454581868
Phone: (937) 439-4949
Fax: (937) 439-4948
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,318.
Total Amount is formed as General ($1,318) + Research ($0) + Ownership ($0) = $1,318.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($535).
Total Amount
$1,318
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,318
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $535 |
| ABBVIE INC. | $344 |
| Medtronic, Inc. | $136 |
| DePuy Synthes Sales Inc. | $45 |
| Averitas Pharma Inc. | $35 |
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: 2021-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210312002187 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 200 | 134 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 130 | 94 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 73 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 16 | $0 |
Insurance plans in this area (ZIP 45385)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| General Practice | OH | |
| - | OH | |
| Physical Therapist In Private Practice | OH | |
| - | OH | |
| - | GA | |
| A N E S T H E S I O L O G Y | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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