MRS. MEGAN SUSANNE HEISEY (CPNP-AC) – Critical Care Pediatric Nurse Practitioner, NPI 1639778681
Critical Care Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. MEGAN SUSANNE HEISEY (CPNP-AC)
6924 NE SANDY BLVD
PORTLAND, OR 972135256
Phone: (503) 300-4111
Fax: (503) 954-2122
Type: Location
1539 OVERLOOK DR
AKRON, OH 443143338
Phone: (330) 731-1057
Type: Mailing
1 PERKINS SQ
AKRON, OH 443081063
Phone: (330) 543-1000
Type: Location
7215 SE Milwaukie Avenue
Portland, OR 972026103
Phone: (503) 300-4111
Fax: (503) 954-2122
Type: Location
2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 970051342
Phone: (503) 300-4111
Fax: (503) 954-2122
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: 2024-09-10
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 |
|---|---|---|---|---|
| I20240910003919 | I | Nurse Practitioner | OR | 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 97213)
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