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HEATHER DIANE HARGRAVE PA-S
NPI 1215404652
Physician Assistant - Medical in Phoenix, AZ

Active since October 24, 2018PECOS Enrolled
635 E BASELINE RD, PHOENIX, AZ 85042(602) 243-7277 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2019, Oct 24, 2018 (2 updates tracked since 2018).

About Heather Diane Hargrave Pa-s NPPES

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

HEATHER DIANE HARGRAVE PA-S (NPI 1215404652) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (7586) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215404652
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEATHER DIANE HARGRAVECredential: PA-S
Location Address635 E BASELINE RDPhoenix, AZ 85042
Mailing Address635 E Baseline RdPhoenix, AZ 85042-6551 · (602) 243-7277
Phone(602) 243-7277
Sole ProprietorYes
Enumeration DateOctober 24, 2018
Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration
✔ NPI 1215404652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 7586
635 E BASELINE RD, Phoenix, AZ 85042
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., UnitedHealthcare.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 Diane Hargrave Pa-s 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.

Other Providers at the Same Location NPPES 20

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

JENNIE ALTMAN RD
Dietitian, Registered
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
LAURA LEE RD
Dietitian, Registered
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
ELAINE TAN PHARM.D.
Pharmacist
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 323-3435
ALTAGRACIA PACHECO MD
Internal Medicine
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
SIGRID HAZEL D JIMENEZ PHARMD
Pharmacist
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 323-3435
SARAH KIM PHARM.D.
Pharmacist
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
RHUAN RUDY PSY.D.
Psychologist
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
KIMBERLY ANN HOFFMAN
Dental Hygienist
635 E BASELINE RD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277

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 Hargrave's NPI number?

The NPI number for Heather Hargrave is 1215404652. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Heather Hargrave located?

Heather Hargrave practices at 635 E Baseline Rd, Phoenix, AZ 85042. The listed phone number is (602) 243-7277.

What is Heather Hargrave's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Hargrave enrolled in Medicare?

Yes. Heather Hargrave is registered in the Medicare PECOS enrollment system.

What insurance does Heather Hargrave accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Heather Hargrave 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 Heather Hargrave was last updated on September 11, 2019. 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.