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JACOB ANDREW HEISLMAN PMHNP-BC
NPI 1457009920
Nurse Practitioner - Psychiatric/Mental Health in Fleming Island, FL

Active since March 14, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1747 BAPTIST CLAY DR STE 350, FLEMING ISLAND, FL 32003(904) 376-3800(904) 390-7397 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 14, 2025, Nov 15, 2024, Jun 4, 2024 and 1 more (4 updates tracked since 2022).

About Jacob Andrew Heislman Pmhnp-bc NPPES

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

JACOB ANDREW HEISLMAN PMHNP-BC (NPI 1457009920) is an individual psychiatric/mental health provider in Fleming Island, Florida, licensed in Florida (APRN11018600) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457009920
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB ANDREW HEISLMANCredential: PMHNP-BC
Location Address1747 BAPTIST CLAY DR STE 350Fleming Island, FL 32003-8504
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 390-7397
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 14, 2022
Last NPPES UpdateNovember 14, 20254 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1457009920 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 FL · APRN11018600
1747 BAPTIST CLAY DR STE 350, Fleming Island, FL 32003
Open in Google Maps ↗

Other Names 1

Other Name (5)Jake A Heislman Pmhnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Jacob Andrew Heislman Pmhnp-bc 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 ID1456746593
PECOS Enrollment IDI20220328000923
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. JENNIFER MICHELLE BRANSCOME PHD
Psychologist
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Duval County (904) 376-3800
DR. STACEY DELANOIT PSY.D., LP
Psychologist
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Duval County (904) 376-3800
TARMATTIE SINGH MS
Counselor (Mental Health)
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Duval County (904) 376-3800
MARIMAR VAZQUEZ-PINEIRO LMHC
Counselor (Mental Health)
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Duval County (904) 376-3800

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 Jacob Heislman's NPI number?

The NPI number for Jacob Heislman is 1457009920. It was assigned to this individual provider in the NPPES registry on March 14, 2022. The provider is also known as Jake A Heislman Pmhnp-Bc.

Where is Jacob Heislman located?

Jacob Heislman practices at 1747 Baptist Clay Dr Ste 350, Fleming Island, FL 32003. The listed phone number is (904) 376-3800.

What is Jacob Heislman's specialty?

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

Is Jacob Heislman enrolled in Medicare?

Yes. Jacob Heislman 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.

What insurance does Jacob Heislman accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jacob Heislman 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 Jacob Heislman was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.