Kathleen M Heitkamp, FNP-C
Nurse Practitioner, Family in Maria Stein, OH. Individual provider (NPI-1).
NPI number1154837136
StatusActive
Last updated in NPPESApr 2, 2024
Details
- NPI
- 1154837136
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathleen M Heitkamp
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2017
- Certification date
- Apr 2, 2024
- Last updated
- Apr 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.021992 | OH | Yes |
| 163W00000X | Registered Nurse | RN.427848 | OH |
Practice location
8381 State Route 119Maria Stein, OH 45860-9701
Phone 419-925-4613 · Fax 419-925-4168
Mailing address
1140 S Knoxville Ave Ste DSaint Marys, OH 45885-2609
Phone 419-300-1129
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