ANDREW BRICE HEINECKE FNP-C
NPI 1447819974
Nurse Practitioner - Primary Care in West Jordan, UT

Q: What is Andrew Heinecke's NPI number?

The NPI number for Andrew Heinecke is 1447819974. It was assigned to this individual provider in the NPPES registry on June 9, 2019.

Q: What is Andrew Heinecke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Heinecke was last updated on June 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 09, 2019PECOS Enrolled

6807 S 3200 W, WEST JORDAN, UT 84084(801) 350-1065 Get Directions Write a Review

NPPES record last updated: June 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Andrew Brice Heinecke Fnp-c NPPES

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

ANDREW BRICE HEINECKE FNP-C (NPI 1447819974) is an individual primary care provider in West Jordan, Utah, licensed in Utah (5606726-4405) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447819974

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameANDREW BRICE HEINECKECredential: FNP-C

Location Address6807 S 3200 WWest Jordan, UT 84084-1828

Mailing Address6807 S 3200 WWest Jordan, UT 84084-1828 · (801) 350-1065

Phone(801) 350-1065

Sole ProprietorYes

Enumeration DateJune 9, 2019

✔ NPI 1447819974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in UT · 5606726-4405

6807 S 3200 W, West Jordan, UT 84084

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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)

Andrew Brice Heinecke Fnp-c 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

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

Jordan Ridge Family Medicine LLC

2.0 mi

Family Medicine

6321 S REDWOOD RD, STE 201
Salt Lake City, UT 84123

Reassigned Medicare billing, Utah enrollment
17 clinicians in this Medicare group

NPI 1770509754 (801) 265-2212

Ma Bo Inc

11 mi

Family Medicine

466 E 500 S STE 200
Salt Lake City, UT 84111

Reassigned Medicare billing, Utah enrollment
27 clinicians in this Medicare group

NPI 1588185581 (801) 485-5055

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 84084 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 Andrew Heinecke's NPI number?

The NPI number for Andrew Heinecke is 1447819974. It was assigned to this individual provider in the NPPES registry on June 9, 2019.

Where is Andrew Heinecke located?

Andrew Heinecke practices at 6807 S 3200 W, West Jordan, UT 84084. The listed phone number is (801) 350-1065.

What is Andrew Heinecke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Andrew Heinecke enrolled in Medicare?

Yes. Andrew Heinecke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Heinecke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Heinecke reassigns Medicare benefits to 2 organizations: Jordan Ridge Family Medicine LLC (Salt Lake City, UT) and Ma Bo Inc (Salt Lake City, UT). 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 Andrew Heinecke'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 Andrew Heinecke was last updated on June 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.