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HEATHER JO NP
NPI 1376913319
Nurse Practitioner - Gerontology in Los Angeles, CA

Active since October 02, 2015PECOS Enrolled
919 S WILTON PL APT 3, LOS ANGELES, CA 90019(213) 605-0524 Get Directions Write a Review

NPPES record last updated: January 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2022, Oct 2, 2015 (2 updates tracked since 2015).

About Heather Jo Np NPPES

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

HEATHER JO NP (NPI 1376913319) is an individual gerontology provider in Los Angeles, California, licensed in California (95002888) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376913319
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHEATHER JOCredential: NP
Location Address919 S WILTON PL APT 3Los Angeles, CA 90019-2130
Mailing Address11144 Bunker LnWhittier, CA 90604-2535
Phone(213) 605-0524
Sole ProprietorNo
Enumeration DateOctober 2, 2015
Last NPPES UpdateJanuary 15, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2022
✔ NPI 1376913319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95002888
919 S WILTON PL APT 3, Los Angeles, CA 90019
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Jo 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Jo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Purpose Driven Mobile Physician
0.5 mi
Adult Medicine
4221 WILSHIRE BLVD STE 170-8
Los Angeles, CA 90010
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1871365320 (818) 646-7203
Healthcare Partners Affiliates Medical Group
2.2 mi
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1659312593 (213) 623-2225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90019 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Jo's NPI number?

The NPI number for Heather Jo is 1376913319. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Where is Heather Jo located?

Heather Jo practices at 919 S Wilton Pl Apt 3, Los Angeles, CA 90019. The listed phone number is (213) 605-0524.

What is Heather Jo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Heather Jo enrolled in Medicare?

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

Which organizations bill Medicare for Heather Jo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Jo reassigns Medicare benefits to 2 organizations: Purpose Driven Mobile Physician (Los Angeles, CA) and Healthcare Partners Affiliates Medical Group (Los Angeles, CA). Each 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 Heather Jo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Jo was last updated on January 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.