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JESSICA LYNN HEFTY PMHNP-BC
NPI 1821817651
Nurse Practitioner - Psychiatric/Mental Health in Beloit, WI

Active since October 08, 2024PECOS EnrolledAccepts Medicare Assignment
540 E GRAND AVE, BELOIT, WI 53511(608) 368-8087 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Lynn Hefty Pmhnp-bc NPPES

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

JESSICA LYNN HEFTY PMHNP-BC (NPI 1821817651) is an individual psychiatric/mental health provider in Beloit, Wisconsin, licensed in Wisconsin (16031-33) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821817651
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA LYNN HEFTYCredential: PMHNP-BC
Location Address540 E GRAND AVEBeloit, WI 53511-6314
Mailing Address540 E Grand AveBeloit, WI 53511-6314 · (608) 368-8087
Phone(608) 368-8087
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1821817651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 16031-33
540 E GRAND AVE, Beloit, WI 53511
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.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

Jessica Lynn Hefty Pmhnp-bc 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 ID840723565
PECOS Enrollment IDI20241101001293
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 Reassignment

Medicare enrollment records show Jessica Hefty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stateline Mental Health Services
Same address
Mental Health (Including Community Mental Health Center)
540 E GRAND AVE
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 34 clinicians in this Medicare group
NPI 1538560255 (608) 368-8087

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 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

DR. DOUGLAS EDWARD KELLEY OD
Optometrist
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 365-8575
TRACY M TOWNE APNP
Nurse Practitioner (Psychiatric/Mental Health)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
SARAH JANE PETERSEN LCSW
Social Worker
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
AMANDA L CARROLL
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
NICHOLAS DEAN DUBIOS-ROSE LCSW
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
HEATHER JOHNSON LCSW
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
ALEXA CRARY MSW, APSW
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
NICOLETTE ANN MILLER LCSW
Social Worker
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087

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 Jessica Hefty's NPI number?

The NPI number for Jessica Hefty is 1821817651. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Jessica Hefty located?

Jessica Hefty practices at 540 E Grand Ave, Beloit, WI 53511. The listed phone number is (608) 368-8087.

What is Jessica Hefty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Hefty enrolled in Medicare?

Yes. Jessica Hefty 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 organization bills Medicare for Jessica Hefty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hefty reassigns Medicare benefits to Stateline Mental Health Services (Beloit, WI). 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 Jessica Hefty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Hefty accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans and 2 other insurers list Jessica Hefty 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 Jessica Hefty was last updated on October 8, 2024. 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.