MISS PATRICIA ANN HEIRTZLER FNP-C
NPI 1043790785
Nurse Practitioner in Sour Lake, TX

Q: What is Patricia Heirtzler's NPI number?

The NPI number for Patricia Heirtzler is 1043790785. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Q: What is Patricia Heirtzler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment

67.96/100

CMS Quality Rating

689 6TH ST, SOUR LAKE, TX 77659(409) 287-4100(409) 287-4105 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Jul 10, 2023, Feb 24, 2023 and 3 more (6 updates tracked since 2018).

On this page

About Miss Patricia Ann Heirtzler Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS PATRICIA ANN HEIRTZLER FNP-C (NPI 1043790785) is an individual nurse practitioner in Sour Lake, Texas, licensed in Texas (AP138551) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043790785

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMISS PATRICIA ANN HEIRTZLERCredential: FNP-C

Location Address689 6TH STSour Lake, TX 77659-1870

Mailing Address689 6th StSour Lake, TX 77659-1870 · (406) 287-4100 · Fax (409) 287-4105

Phone(409) 287-4100

Fax(409) 287-4105

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 21, 2018

Last NPPES UpdateApril 8, 20266 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1043790785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP138551

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP138551 (TX)

689 6TH ST, Sour Lake, TX 77659

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Patricia Ann Heirtzler Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224372339

PECOS Enrollment IDI20181130000577

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77659 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.14

Promoting Interoperability

100

Improvement Activities

Cost

44.5

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Heirtzler's NPI number?

The NPI number for Patricia Heirtzler is 1043790785. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Patricia Heirtzler located?

Patricia Heirtzler practices at 689 6th St, Sour Lake, TX 77659. The listed phone number is (409) 287-4100.

What is Patricia Heirtzler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricia Heirtzler enrolled in Medicare?

Yes. Patricia Heirtzler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Patricia Heirtzler accept?

Health plans from Blue Cross and Blue Shield of Texas list Patricia Heirtzler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patricia Heirtzler was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.