LAURA J HEITZ NP NPI 1013090554
Nurse Practitioner - Family in Rock Springs, WY

About LAURA J HEITZ NP

Laura Heitz is a provider established in Rock Springs, Wyoming and her medical specialization is Nurse Practitioner with a focus in family with more than 21 years of experience. The NPI number of Laura Heitz is 1013090554 and was assigned on October 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 17189.0261 (WY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1013090554
Provider Name LAURA J HEITZ NP
Location Address2620 COMMERCIAL WAY SUITE 051 ROCK SPRINGS, WY 82901
Location Phone(307) 382-2080
Mailing Address2620 COMMERCIAL WAY SUITE 051 ROCK SPRINGS, WY 82901
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Enumeration Date10-20-2006
Last Update Date01-25-2010

A nurse practitioner (NP) like Laura J Heitz Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Laura Heitz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Laura Heitz is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Memorial Hospital Sweetwater County and Cheyenne Regional Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.58 for a new patient copayment and $26.08 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.17189.0261
License StateWY

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

LAURA J HEITZ NP
2620 COMMERCIAL WAY
SUITE 051
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 382-2080
Fax: (307) 382-5099

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Mailing Address

LAURA J HEITZ NP
2620 COMMERCIAL WAY
SUITE 051
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 382-2080
Fax: (307) 382-5099


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5395635742
PECOS Enrollment IDI20100308000482
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 82901 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.77 $178.11 $90.33
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.69 $44.52 $22.58
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.37 $145.61 $104.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.59 $36.4 $26.08

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 85Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 13Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laura Heitz is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEMORIAL HOSPITAL SWEETWATER COUNTY1200 COLLEGE DRIVE
ROCK SPRINGS, WY 82901
(307) 362-3711Acute Care Hospitals530011
CHEYENNE REGIONAL MEDICAL CENTER214 EAST 23RD STREET
CHEYENNE, WY 82001
(307) 633-2273Acute Care Hospitals530014

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
260064367OTHER (01)WYTAX ID
17189.0261OTHER (01)WYSTATE NURSING LICENSE
118483100MEDICAID (05)WY
312190OTHER (01)BLUE CROSS BLUE SHIELD
W9752MEDICARE PIN (08)WY
P96969MEDICARE UPIN (02)WY

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013090554
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023090510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 0 + 5 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1013090554 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083806111TOTAL FAMILY HEALTH, PC
Organization
Nurse Practitioner (Family)2620 COMMERCIAL WAY SUITE 051
ROCK SPRINGS, WY 82901
(307) 382-2080
1609123843 TERESA R EATON B.A.
Individual
Case Manager/Care Coordinator2620 COMMERCIAL WAY SUITE 120
ROCK SPRINGS, WY 82901
(307) 389-6579
1417257114NEW FRONTIER IMAGING, LLC
Organization
Clinic/Center (Radiology)2620 COMMERCIAL WAY STE. 10
ROCK SPRINGS, WY 82901
(307) 371-0577
1073927190MRS. WHITNEY MICHELLE MIKKELSEN B.S.
Individual
Case Manager/Care Coordinator2620 COMMERCIAL WAY SUITE 120
ROCK SPRINGS, WY 82901
(307) 922-8543
1891194494SWEETWATER COUNTY CHC, INC
Organization
Pharmacy (Community/Retail Pharmacy)2620 COMMERCIAL WAY
ROCK SPRINGS, WY 82901
(307) 212-4241
1710337217NEW FRONTIER IMAGING, LLC
Organization
Nurse Practitioner (Family)2620 COMMERCIAL WAY SUITE 110
ROCK SPRINGS, WY 82901
(307) 362-5116
1831457258 STEPHEN M WALKER PCSW
Individual
Social Worker (Clinical)2620 COMMERCIAL WAY
ROCK SPRINGS, WY 82901
(435) 755-6061
1871234765MRS. BRIANNE EMORY STRINGER APRN, FNP-BC
Individual
Nurse Practitioner (Family)2620 COMMERCIAL WAY
ROCK SPRINGS, WY 82901
(435) 755-6061
1063940344BEAR LAKE COMMUNITY HEALTH CENTER, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2620 COMMERCIAL WAY
ROCK SPRINGS, WY 82901
(435) 755-6061
1396267944BEAR LAKE COMMUNITY HEALTH CENTER, INC.
Organization
Pharmacy (Clinic Pharmacy)2620 COMMERCIAL WAY
ROCK SPRINGS, WY 82901
(307) 212-5116

Frequently Asked Questions

What is Laura Heitz NP NPI number?

The NPI number assigned to Laura Heitz NP is 1013090554, registered as an "individual" on October 20, 2006

Where is Laura Heitz NP located?

The provider is located at 2620 Commercial Way Suite 051 Rock Springs, Wy 82901 and the phone number is (307) 382-2080

Which is Laura Heitz NP specialty?

The provider's speciality is Nurse Practitioner with a focus in Family

How many years of experience does Laura Heitz NP have?

The provider has more than 21 years of experience.

What insurance does Laura Heitz NP accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Laura Heitz NP registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Laura Heitz NP?

Medicare beneficiaries should expect a typical cost of $90.33 with an average copayment of $22.58 for new patient appointments. Established patients should expect a typical charge of $104.33 and an average copayment of 26.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Laura Heitz NP?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample and Administration of influenza virus vaccine.

Is Laura Heitz NP affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MEMORIAL HOSPITAL SWEETWATER COUNTY and CHEYENNE REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Laura Heitz NP was last updated on October 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]