STEPHANIE HEATON KING (NP) – Family Nurse Practitioner, NPI 1962814376

STEPHANIE HEATON KING (NP) is a healthcare provider. based in Newport news, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 0024171257 (VA). The NPI Number for STEPHANIE HEATON KING (NP) is 1962814376

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE HEATON KING (NP)
NPI
1962814376
Phone
(757) 269-0136
Address
13000 WARWICK BLVD
Enumeration Date
20 May 2014
Last Update Date
11 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7187056010
Graduation Year
2008 (18 years ago)
PAC ID
2264651454
Group Practice PAC ID
2365875390
Professional Enrollment ID
I20140922000575
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE HEATON KING (NP)

  • 13000 WARWICK BLVD

    NEWPORT NEWS, VA 236028340

    Phone: (757) 269-0136

    Type: Mailing

  • 13000 WARWICK BLVD # 8497

    NEWPORT NEWS, VA 23602

    Phone: (757) 269-0136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $745.

Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Corium, LLC ($125).

Total Amount

$745

General + Research + Ownership

Payments

7

Total payment records

General Amount

$745

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2014-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (984 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
I20140922000575INurse PractitionerVA2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 23602)

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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: 2365875390View full group profile
NameSpecialtyState
Nurse PractitionerNC
Nurse PractitionerMA
Nurse PractitionerVA
Nurse PractitionerTN
-NC
Nurse PractitionerNC
Nurse PractitionerVA
-VA

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE HEATON KING (NP)?
STEPHANIE HEATON KING (NP) — NPI 1962814376 — is the standard way to identify this listing.
Can I rely on STEPHANIE HEATON KING (NP) being an active provider?
As of the registry snapshot, STEPHANIE HEATON KING (NP) is marked active.
What is STEPHANIE HEATON KING (NP) best known for clinically?
Directory data describes STEPHANIE HEATON KING (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is STEPHANIE HEATON KING (NP) based?
STEPHANIE HEATON KING (NP) is tied to Newport News, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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