HEATHER NUNNELLY PA-C
NPI 1114458122
Physician Assistant - Surgical in Fort Lauderdale, FL

Q: What is Heather Nunnelly's NPI number?

The NPI number for Heather Nunnelly is 1114458122. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Heather Nunnelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Heather Nunnelly was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment

1600 S ANDREWS AVE STE 101, FORT LAUDERDALE, FL 33316(954) 355-4345(954) 355-4889 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Heather Nunnelly Pa-c NPPES

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

HEATHER NUNNELLY PA-C (NPI 1114458122) is an individual surgical provider in Fort Lauderdale, Florida, licensed in Florida (PA9109811) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Broward Health Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114458122

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameHEATHER NUNNELLYCredential: PA-C

Location Address1600 S ANDREWS AVE STE 101Fort Lauderdale, FL 33316-2510

Mailing Address1608 Se 3rd Ave Fl 3Fort Lauderdale, FL 33316-2564 · (954) 355-4345 · Fax (954) 355-4889

Phone(954) 355-4345

Fax(954) 355-4889

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 22, 2017

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1114458122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9109811

1600 S ANDREWS AVE STE 101, Fort Lauderdale, FL 33316

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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

Heather Nunnelly Pa-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 ID8123385903

PECOS Enrollment IDI20171204000756

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 3

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.

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

28 services27 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

24 services23 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100039

Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN M SLOMOVITZ M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

1600 S ANDREWS AVE STE 101
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4345

LAURA DIANE CONSTANT NP-C

Nurse Practitioner (Adult Health)

1600 S ANDREWS AVE STE 101
FT LAUDERDALE, FL 33316

Broward County (954) 355-4345

DR. SCOTT E JORDAN M.D.

Obstetrics & Gynecology

1600 S ANDREWS AVE STE 101
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4345

NORTH BROWARD HOSPITAL DISTRICT

Obstetrics & Gynecology (Gynecologic Oncology)

1600 S ANDREWS AVE STE 101
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4345

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 Heather Nunnelly's NPI number?

The NPI number for Heather Nunnelly is 1114458122. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Heather Nunnelly located?

Heather Nunnelly practices at 1600 S Andrews Ave Ste 101, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4345.

What is Heather Nunnelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Heather Nunnelly enrolled in Medicare?

Yes. Heather Nunnelly 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 Heather Nunnelly accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Heather Nunnelly 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.

Is Heather Nunnelly affiliated with any hospitals?

According to CMS data, Heather Nunnelly is affiliated with Broward Health Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Nunnelly was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.