KEISHA DAUN HEIVLY CRNP
NPI 1689556920
Nurse Practitioner in Montoursville, PA

Active since July 25, 2025PECOS EnrolledAccepts Medicare Assignment
900 PLAZA DR, MONTOURSVILLE, PA 17754(570) 368-3321 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keisha Daun Heivly Crnp NPPES

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

KEISHA DAUN HEIVLY CRNP (NPI 1689556920) is an individual nurse practitioner in Montoursville, Pennsylvania, licensed in Pennsylvania (SP033331) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689556920
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKEISHA DAUN HEIVLYCredential: CRNP
Location Address900 PLAZA DRMontoursville, PA 17754-2448
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900 · (570) 326-8723
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1689556920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP033331
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

900 PLAZA DR, Montoursville, PA 17754

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Keisha Daun Heivly Crnp 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 ID749787380
PECOS Enrollment IDI20251008004685
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 17754 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 15

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

Family Medicine
900 PLAZA DR
MONTOURSVILLE, PA 17754
Nurse Practitioner (Occupational Health)
900 PLAZA DR
MONTOURSVILLE, PA 17754
Physician Assistant
900 PLAZA DR
MONTOURSVILLE, PA 17754
Nurse Practitioner
900 PLAZA DR
MONTOURSVILLE, PA 17754
Family Medicine
900 PLAZA DR
MONTOURSVILLE, PA 17754
Internal Medicine
900 PLAZA DR
MONTOURSVILLE, PA 17754
Family Medicine
900 PLAZA DR
MONTOURSVILLE, PA 17754
Nurse Practitioner (Family)
900 PLAZA DR
MONTOURSVILLE, PA 17754

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 Keisha Heivly's NPI number?

The NPI number for Keisha Heivly is 1689556920. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Keisha Heivly located?

Keisha Heivly practices at 900 Plaza Dr, Montoursville, PA 17754. The listed phone number is (570) 368-3321.

What is Keisha Heivly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Keisha Heivly enrolled in Medicare?

Yes. Keisha Heivly 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.

When was this NPI record last updated?

The NPPES record for Keisha Heivly was last updated on July 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.