HEATHER KILLAM NP
NPI 1114914967
Nurse Practitioner - Family in Surprise, AZ

Q: What is Heather Killam's NPI number?

The NPI number for Heather Killam is 1114914967. It was assigned to this individual provider in the NPPES registry on October 5, 2005. The provider is also known as Heather Roshetko Np.

Q: What is Heather Killam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Killam was last updated on February 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 October 05, 2005PECOS Enrolled

12361 W BOLA DR STE 109, SURPRISE, AZ 85378(623) 227-1000(623) 227-2000 Get Directions Write a Review

NPPES record last updated: February 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2020, Dec 26, 2019 (2 updates tracked since 2019).

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About Heather Killam Np NPPES

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

HEATHER KILLAM NP (NPI 1114914967) is an individual family provider in Surprise, Arizona, licensed in Arizona (RN115515) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114914967

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER KILLAMCredential: NP

Location Address12361 W BOLA DR STE 109Surprise, AZ 85378-9021

Mailing Address12361 W Bola Dr Ste 109Surprise, AZ 85378-9021 · (623) 227-1000 · Fax (623) 227-2000

Phone(623) 227-1000

Fax(623) 227-2000

Sole ProprietorNo

Enumeration DateOctober 5, 2005

Last NPPES UpdateFebruary 1, 20202 updates tracked since enumeration

✔ NPI 1114914967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · RN115515

12361 W BOLA DR STE 109, Surprise, AZ 85378

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Other Names 1

Former Name (1)Heather Roshetko Np

Other Identifiers 1

Medicaid907157AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Killam Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85378 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 8

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

CAREFIRST WELLNESS ASSOCIATES OF AZ LLC

Family Medicine