MRS. HEATHER S NIECE (P.A.-C.) – Physician Assistant, NPI 1225198286
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. HEATHER S NIECE (P.A.-C.)
1560 KINGSLEY AVE STE 300
ORANGE PARK, FL 320734593
Phone: (904) 264-8801
Fax: (904) 621-0566
Type: Location
Argyle Forest Boulevard, Argyle Forest, Jacksonville, Duval County, Florida, 32244, United States
JACKSONVILLE, FL 322445597
Phone: (904) 282-6331
Fax: (904) 282-4117
Type: Mailing
1564 Kingsley Ave Ste 300
Orange Park, FL 320734521
Phone: (904) 264-8801
Fax: (904) 621-0566
Type: Location
4863 PALM COAST PKWY NW UNIT 2
PALM COAST, FL 321373665
Phone: (386) 222-7746
Fax: (386) 310-2381
Type: Location
705 WELLS RD STE 300
ORANGE PARK, FL 320732982
Phone: (904) 282-6331
Fax: (904) 282-4117
Type: Mailing
1564 KINGSLEY AVE STE 300
ORANGE PARK, FL 320734521
Phone: (904) 264-8801
Fax: (904) 621-0566
Type: Location
8727 BRIERWOOD RD
JACKSONVILLE, FL 322174814
Phone: (904) 305-8502
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $666.
Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($202).
Total Amount
$666
General + Research + Ownership
Payments
39
Total payment records
General Amount
$666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070905000143 | I | Physician Assistant | GA | TBD |
| I20180214000938 | I | Physician Assistant | FL | 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 32073)
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