KRISTEN C. HEINAN (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1700080108
Neurology with Special Qualifications in Child Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
706 NEUROLOGY in VA
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Provider Addresses for KRISTEN C. HEINAN (M.D.)
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
1221, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22903, United States
CHARLOTTESVILLE, VA 229080001
Phone: (434) 924-2706
Fax: (434) 924-9068
Type: Location
4348 ELECTRIC RD
ROANOKE, VA 240180720
Phone: (540) 769-0976
Fax: (540) 857-5392
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
1221 Lee Street
Charlottesville, VA 229080001
Phone: (434) 924-2706
Fax: (434) 924-9068
Type: Location
1215 Lee St
Charlottesville, VA 229080001
Phone: (434) 924-0211
Type: Location
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: 2012-08-21
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 |
|---|---|---|---|---|
| I20120821000926 | I | Neurology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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