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DR. NANCY J HEISEL MD
NPI 1134274129
Internal Medicine in Lake Oswego, OR

Active since January 23, 2007PECOS Enrolled
93.57/100
CMS Quality Rating
18010 SW MCEWAN RD, LAKE OSWEGO, OR 97035(503) 525-7500 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 18, 2024, Sep 13, 2016 (2 updates tracked since 2016).

About Dr. Nancy J Heisel Md NPPES

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

DR. NANCY J HEISEL MD (NPI 1134274129) is an individual internal medicine provider in Lake Oswego, Oregon, licensed in Oregon (MD171272) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ketchikan.

NPPES Registry Identity

NPI1134274129
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NANCY J HEISELCredential: MD
Location Address18010 SW MCEWAN RDLake Oswego, OR 97035-7868
Mailing Address5810 Sw Luradel CtPortland, OR 97219-5780 · (503) 308-0654
Phone(503) 525-7500
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJanuary 18, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2025
✔ NPI 1134274129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OR · MD171272✔ Licensed in AK · 218217
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18010 SW MCEWAN RD, Lake Oswego, OR 97035
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Secondary Practice Location 1

Location 13100 Tongass AveKetchikan, AK 99901-5746 · Phone (907) 228-8300 · Fax (907) 228-8440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Dr. Nancy J Heisel Md 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.

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.

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.
37 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

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.

JORDAN DAVID SMITH M.D.
Internal Medicine
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500
REN SHIRAI DO
Family Medicine
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500
KIARA CAMILLE MINA DO
Family Medicine
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500
TANELL E. OGBEIDE C.F.N.P.
Nurse Practitioner
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500

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 Nancy Heisel's NPI number?

The NPI number for Nancy Heisel is 1134274129. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Nancy Heisel located?

Nancy Heisel practices at 18010 SW Mcewan Rd, Lake Oswego, OR 97035. The listed phone number is (503) 525-7500.

What is Nancy Heisel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nancy Heisel enrolled in Medicare?

Yes. Nancy Heisel is registered in the Medicare PECOS enrollment system.

What insurance does Nancy Heisel accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Nancy Heisel 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 Nancy Heisel was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.