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TAVITHIA HEIDELBURG NURSE PRACTITIONER
NPI 1548768260
Nurse Practitioner - Family in Brandon, MS

Active since January 28, 2018PECOS Enrolled

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2026, May 6, 2018 (2 updates tracked since 2018).

About Tavithia Heidelburg Nurse Practitioner NPPES

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

TAVITHIA HEIDELBURG NURSE PRACTITIONER (NPI 1548768260) is an individual family provider in Brandon, Mississippi, licensed in Mississippi (902245) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548768260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAVITHIA HEIDELBURGCredential: NURSE PRACTITIONER
Location AddressPO BOX 261Brandon, MS 39043-0261
Mailing AddressPo Box 261Brandon, MS 39043-0261
Phone(601) 353-8486
Sole ProprietorNo
Enumeration DateJanuary 28, 2018
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1548768260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 902245
PO BOX 261, Brandon, MS 39043
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tavithia Heidelburg Nurse Practitioner 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 Reassignment

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

Audrey Home And Healthcare Services LLC
76 mi
Family
2122 OAK GROVE RD
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1730043118 (769) 353-8486

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 39043 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Tavithia Heidelburg's NPI number?

The NPI number for Tavithia Heidelburg is 1548768260. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Where is Tavithia Heidelburg located?

Tavithia Heidelburg practices at PO Box 261, Brandon, MS 39043. The listed phone number is (601) 353-8486.

What is Tavithia Heidelburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tavithia Heidelburg enrolled in Medicare?

Yes. Tavithia Heidelburg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tavithia Heidelburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tavithia Heidelburg reassigns Medicare benefits to Audrey Home And Healthcare Services LLC (Hattiesburg, MS). 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 Tavithia Heidelburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tavithia Heidelburg accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Tavithia Heidelburg 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 Tavithia Heidelburg was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.