DR. ACKEILIA K HEATRICE DDS
NPI 1609003060
Dentist - Pediatric Dentistry in Ellisville, MO
About Dr. Ackeilia K Heatrice Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ACKEILIA K HEATRICE DDS (NPI 1609003060) is an individual pediatric dentistry provider in Ellisville, Missouri, licensed in Missouri (2020013343) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ackeilia K Heatrice Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ackeilia Heatrice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63112
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Betty Jean Kerr Peoples Health Centers
- 53 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63021 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 Ackeilia Heatrice's NPI number?
The NPI number for Ackeilia Heatrice is 1609003060. It was assigned to this individual provider in the NPPES registry on June 12, 2009.
Where is Ackeilia Heatrice located?
Ackeilia Heatrice practices at 24 Kiefer Creek Rd, Ellisville, MO 63021. The listed phone number is (314) 367-7848.
What is Ackeilia Heatrice's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Ackeilia Heatrice enrolled in Medicare?
Yes. Ackeilia Heatrice is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ackeilia Heatrice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ackeilia Heatrice reassigns Medicare benefits to Betty Jean Kerr People's Health Centers (Saint Louis, MO). 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 Ackeilia Heatrice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ackeilia Heatrice accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 7 other insurers list Ackeilia Heatrice 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 Ackeilia Heatrice was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. Ackeilia K Heatrice, DDS · NPI 1609003060
Pediatric Dentistry provider in Ellisville, Missouri. Individual provider, active in the CMS NPPES registry since June 12, 2009.
## Identity
- **NPI:** 1609003060 (Entity type: Individual)
- **Enumerated:** June 12, 2009
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 2020013343 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 24 KIEFER CREEK RD, Ellisville, MO 63021-6013
- **Phone:** (314) 367-7848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Betty Jean Kerr People's Health Centers (NPI 1194797787, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609003060) · Data from the CMS NPPES public registry.