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ASHLEY L HEISEY PA
NPI 1720496227
Physician Assistant in Dover, DE

Active since July 28, 2014PECOS EnrolledAccepts Medicare Assignment
640 S STATE ST, DOVER, DE 19901(302) 674-4700(302) 735-3845 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2023, Jan 12, 2022 (2 updates tracked since 2022).

About Ashley L Heisey Pa NPPES

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

ASHLEY L HEISEY PA (NPI 1720496227) is an individual physician assistant in Dover, Delaware, licensed in Delaware (C5-0000952) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720496227
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY L HEISEYCredential: PA
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address640 S. State Street, Mail Code 3055Dover, DE 19901-3530 · (302) 480-1688 · Fax (302) 480-9807
Phone(302) 674-4700
Fax(302) 735-3845
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 28, 2014
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1720496227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in DE · C5-0000952
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C5-0000952 (DE), C0005420 (MD)
640 S STATE ST, Dover, DE 19901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

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

Ashley L Heisey Pa 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 ID7012226582
PECOS Enrollment IDI20170802002770
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 5

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.

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.
80 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services44 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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 20

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

JOHN MCARTOR
Pharmacist
640 S STATE ST
DOVER, DE 19901
Kent County (302) 744-7018
FRANCIS LIM MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (419) 276-1194
SUMUKH ARUN KUMAR MD
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
ABIGAIL KOZHUHAROV
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
SAFWAN MUHAMMAD MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (879) 022-5410
MS. REBECCA SUZANNE ANTAL PA-C
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
DONNA MARIE SHORT R.PH.
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Kent County (302) 744-7018
MARY KATHERINE TROYER RN
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700

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 Ashley Heisey's NPI number?

The NPI number for Ashley Heisey is 1720496227. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Ashley Heisey located?

Ashley Heisey practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 674-4700.

What is Ashley Heisey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ashley Heisey enrolled in Medicare?

Yes. Ashley Heisey 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.

What insurance does Ashley Heisey accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Ashley Heisey 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 Ashley Heisey was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.