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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTEN C. HEINAN M.D.
NPI 1700080108
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Roanoke, VA

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0976(540) 857-5392 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 29, 2026, Jan 28, 2026, Aug 10, 2023 and 2 more (5 updates tracked since 2018).

About Kristen C. Heinan M.d. NPPES

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

KRISTEN C. HEINAN M.D. (NPI 1700080108) is an individual neurology with special qualifications in child neurology provider in Roanoke, Virginia, licensed in Virginia (0101252091) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700080108
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameKRISTEN C. HEINANCredential: M.D.
Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone(540) 769-0976
Fax(540) 857-5392
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2007
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 29, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1700080108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in VA · 0101252091
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 0101252091 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116019527 (VA)
4348 ELECTRIC RD, Roanoke, VA 24018
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211
Location 21221 Lee StreetCharlottesville, VA 22908-0001 · Phone (434) 924-2706 · Fax (434) 924-9068

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Kristen C. Heinan M.d. 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 ID42467359
PECOS Enrollment IDI20120821000926
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 Reassignments

2

Medicare enrollment records show Kristen Heinan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center
2.2 mi
Dental
2017 JEFFERSON ST SW
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1114399276 (540) 981-7128
University Of Virginia Physicians Group
97 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 20

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

ALISON ENSOR DUNN MD
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0976
JOSEPH TAMEZ MD
Pediatrics (Pediatric Pulmonology)
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0976
DR. MELISSA NICOLE MUNROE M.D.
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0976
ABBEY STONE
Dietitian, Registered
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0976
IBELITZE MARGARITA MADIGAN
Student in an Organized Health Care Education/Training Program
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0976
DR. ERINN E HOKANSON NP
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0975
MICHAEL MEYER MD
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0976
ZARA ZAHID DDS
Dentist (Pediatric Dentistry)
4348 ELECTRIC RD
ROANOKE, VA 24018
Roanoke County (540) 769-0600

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 Kristen Heinan's NPI number?

The NPI number for Kristen Heinan is 1700080108. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Kristen Heinan located?

Kristen Heinan practices at 4348 Electric Rd, Roanoke, VA 24018. The listed phone number is (540) 769-0976.

What is Kristen Heinan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Kristen Heinan enrolled in Medicare?

Yes. Kristen Heinan 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 organizations bill Medicare for Kristen Heinan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Heinan reassigns Medicare benefits to 2 organizations: Carilion Medical Center (Roanoke, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each 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 Kristen Heinan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Heinan accept?

Health plans from Oscar Health list Kristen Heinan 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.

Is Kristen Heinan affiliated with any hospitals?

According to CMS data, Kristen Heinan is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Heinan was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.