CODY JANTON HEINTZELMAN PA-C
NPI 1174034359
Physician Assistant in Selinsgrove, PA

Active since October 16, 2017PECOS EnrolledAccepts Medicare Assignment
270 SUSQUEHANNA VALLEY MALL DR STE 800, SELINSGROVE, PA 17870(570) 884-7925(570) 374-7932 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Jul 25, 2022, Apr 15, 2022 and 2 more (5 updates tracked since 2017).

About Cody Janton Heintzelman Pa-c NPPES

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

CODY JANTON HEINTZELMAN PA-C (NPI 1174034359) is an individual physician assistant in Selinsgrove, Pennsylvania, licensed in Florida (PA9121574) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Evangelical Community Hospital, and maintains a secondary practice location in Palm Coast.

NPPES Registry Identity

NPI1174034359
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCODY JANTON HEINTZELMANCredential: PA-C
Location Address270 SUSQUEHANNA VALLEY MALL DR STE 800Selinsgrove, PA 17870-9124
Mailing Address1 Memorial Medical Pkwy Ste 101Palm Coast, FL 32164-5979 · (386) 586-1523
Fax(570) 374-7932
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 16, 2017
Last NPPES UpdateApril 1, 20265 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1174034359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9121574 Licensed in PA · MA059718
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

270 SUSQUEHANNA VALLEY MALL DR STE 800, Selinsgrove, PA 17870

Secondary Practice Location 1

Location 11 Memorial Medical Pkwy Ste 101Palm Coast, FL 32164-5979 · Phone (386) 586-1523

Other Identifiers 2

Other704830PA · Medicare
Medicaid103601590PA

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

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

Cody Janton Heintzelman 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 ID7012268980
PECOS Enrollment IDI20180918000102
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 13

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
531 services86 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
251 services69 patients
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.
92 services52 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
87 services24 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
51 services21 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
36 services20 patients

Hospital Affiliations CMS Care Compare

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

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17870 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 6

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

Family Medicine
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Family Medicine
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Nurse Practitioner
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Nurse Practitioner
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Family Medicine
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Physician Assistant
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870

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 Cody Heintzelman's NPI number?

The NPI number for Cody Heintzelman is 1174034359. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Cody Heintzelman located?

Cody Heintzelman practices at 270 Susquehanna Valley Mall Dr Ste 800, Selinsgrove, PA 17870. The listed phone number is (570) 884-7925.

What is Cody Heintzelman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cody Heintzelman enrolled in Medicare?

Yes. Cody Heintzelman 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.

Is Cody Heintzelman affiliated with any hospitals?

According to CMS data, Cody Heintzelman is affiliated with Evangelical Community Hospital.

When was this NPI record last updated?

The NPPES record for Cody Heintzelman was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.