PATRICIA A HEINEMANN C.N.M
NPI 1649361593
Advanced Practice Midwife in Wilmington, DE

Q: What is Patricia Heinemann's NPI number?

The NPI number for Patricia Heinemann is 1649361593. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Patricia Heinemann's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since September 27, 2006PECOS Enrolled

532 GREENHILL AVE, WILMINGTON, DE 19805(302) 778-2229(302) 504-5010 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Patricia A Heinemann C.n.m NPPES

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

PATRICIA A HEINEMANN C.N.M (NPI 1649361593) is an individual advanced practice midwife in Wilmington, Delaware, licensed in Delaware (LK-0000111) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649361593

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NamePATRICIA A HEINEMANNCredential: C.N.M

Location Address532 GREENHILL AVEWilmington, DE 19805-1851

Mailing AddressPo Box 824804Philadelphia, PA 19182-4804 · (302) 778-2229 · Fax (302) 504-5010

Phone(302) 778-2229

Fax(302) 504-5010

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1649361593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in DE · LK-0000111

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

532 GREENHILL AVE, Wilmington, DE 19805

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Other Identifiers 1

Medicaid1649361593DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia A Heinemann C.n.m 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.

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

23 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KIMBERLY BOEHMLER CNM

Advanced Practice Midwife

532 GREENHILL AVE
WILMINGTON, DE 19805

New Castle County (302) 778-2229

DR. NANCY FAN MD

Obstetrics & Gynecology

532 GREENHILL AVE
WILMINGTON, DE 19805

New Castle County (302) 778-2229

MONIKA CHAPMAN NP

Nurse Practitioner (Women's Health)

532 GREENHILL AVE
WILMINGTON, DE 19805

New Castle County (302) 778-2229

ST. FRANCIS HOSPITAL INC.

Obstetrics & Gynecology

532 GREENHILL AVE
WILMINGTON, DE 19805

New Castle County (302) 778-2229

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 Patricia Heinemann's NPI number?

The NPI number for Patricia Heinemann is 1649361593. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Patricia Heinemann located?

Patricia Heinemann practices at 532 Greenhill Ave, Wilmington, DE 19805. The listed phone number is (302) 778-2229.

What is Patricia Heinemann's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Patricia Heinemann enrolled in Medicare?

Yes. Patricia Heinemann is registered in the Medicare PECOS enrollment system.

What insurance does Patricia Heinemann accept?

Health plans from AmeriHealth Caritas Next list Patricia Heinemann 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 Patricia Heinemann was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.