MRS. MARYJO LEIGH HEISE (APNP) – Nurse Practitioner, NPI 1689790461
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 NURSE PRACTITIONER in WI
Provider Addresses for MRS. MARYJO LEIGH HEISE (APNP)
2820 Roosevelt Rd
Marinette, WI 541433834
Phone: (715) 735-5225
Fax: (715) 735-5388
Type: Location
744 S WEBSTER AVE
GREEN BAY, WI 543013505
Phone: (920) 445-7226
Fax: (920) 445-7229
Type: Mailing
820 Arbutus Ave
Oconto, WI 541532004
Phone: (920) 835-1100
Fax: (920) 835-1099
Type: Location
720 S VANBUREN ST
SUITE201
GREEN BAY, WI 543013534
Phone: (920) 433-7488
Fax: (920) 433-7439
Type: Location
PO BOX 22487
GREEN BAY, WI 543052487
Phone: (920) 445-7222
Fax: (920) 445-7289
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Endomagnetics Ltd ($29).
Total Amount
$51
General + Research + Ownership
Payments
2
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endomagnetics Ltd | $29 |
| Medtronic, Inc. | $23 |
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: 2012-10-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20121018000493 | I | Nurse Practitioner | WI | 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 54143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
Reviews
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