DR. CHARLISA HEYWARD DNP, FNP-C
NPI 1588218663
Nurse Practitioner - Family in Hesperia, CA
About Dr. Charlisa Heyward Dnp, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLISA HEYWARD DNP, FNP-C (NPI 1588218663) is an individual family provider in Hesperia, California, licensed in California (95012553) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Victorville, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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
Dr. Charlisa Heyward Dnp, Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Charlisa Heyward reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rancho Mirage, CA 92270
- Reassigned Medicare billing, California enrollment
- 75 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charlisa Heyward's NPI number?
The NPI number for Charlisa Heyward is 1588218663. It was assigned to this individual provider in the NPPES registry on July 28, 2019. The provider is also known as Charlisa Brothers.
Where is Charlisa Heyward located?
Charlisa Heyward practices at 17450 Main St Ste D, Hesperia, CA 92345. The listed phone number is (760) 493-2929.
What is Charlisa Heyward's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Charlisa Heyward enrolled in Medicare?
Yes. Charlisa Heyward 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 Charlisa Heyward's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlisa Heyward reassigns Medicare benefits to Tobias Moeller-Bertram MD Corporation (Rancho Mirage, CA). 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 Charlisa Heyward'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 Charlisa Heyward was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Charlisa Heyward, DNP, FNP-C · NPI 1588218663
Family physician in Hesperia, California. Individual provider, active in the CMS NPPES registry since July 28, 2019.
## Identity
- **NPI:** 1588218663 (Entity type: Individual)
- **Enumerated:** July 28, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012553 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17450 MAIN ST STE D, Hesperia, CA 92345-6262
- **Phone:** (760) 493-2929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tobias Moeller-Bertram MD Corporation (NPI 1922440684, Rancho Mirage, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1588218663) · Data from the CMS NPPES public registry.