Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEANIE K HEIDELBERG PMHNP
NPI 1376148072
Nurse Practitioner - Psychiatric/Mental Health in Bandera, TX

Active since December 01, 2020PECOS EnrolledAccepts Medicare Assignment
5.64/100
CMS Quality Rating
611 MAIN STREET, STE 4, BANDERA, TX 78003(830) 264-8210 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2026, Dec 2, 2024, Jul 11, 2022 and 1 more (4 updates tracked since 2020).

About Jeanie K Heidelberg Pmhnp NPPES

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

JEANIE K HEIDELBERG PMHNP (NPI 1376148072) is an individual psychiatric/mental health provider in Bandera, Texas, licensed in Texas (1020420) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bandera, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376148072
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEANIE K HEIDELBERGCredential: PMHNP
Location Address611 MAIN STREET, STE 4Bandera, TX 78003
Mailing AddressPo Box 2624Bandera, TX 78003-2624 · (830) 264-8210
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 1, 2020
Last NPPES UpdateSeptember 10, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1376148072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1020420
611 MAIN STREET, Bandera, TX 78003

Secondary Practice Location 1

Location 14333 Hwy 16 S Ste 400Bandera, TX 78003-5167 · Phone (830) 264-8210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanie K Heidelberg Pmhnp 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 ID4486068327
PECOS Enrollment IDI20210204000608
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeanie Heidelberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
611 MAIN STREET, STE 4
Bandera, TX 78003
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
762 services281 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.
287 services168 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
160 services68 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
140 services137 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78003 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

5.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost18.83

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
611 MAIN STREET, STE 4
BANDERA, TX 78003
Nurse Practitioner (Psychiatric/Mental Health)
611 MAIN STREET, STE 4
BANDERA, TX 78003

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 Jeanie Heidelberg's NPI number?

The NPI number for Jeanie Heidelberg is 1376148072. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Jeanie Heidelberg located?

Jeanie Heidelberg practices at 611 Main Street Ste 4, Bandera, TX 78003. The listed phone number is (830) 264-8210.

What is Jeanie Heidelberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeanie Heidelberg enrolled in Medicare?

Yes. Jeanie Heidelberg 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.

Which organization bills Medicare for Jeanie Heidelberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanie Heidelberg reassigns Medicare benefits to Southern Psychiatric Services LLC (Bandera, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanie Heidelberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanie Heidelberg accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jeanie Heidelberg 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 Jeanie Heidelberg was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.