NICOLE BROADBENT HEYWOOD PA-C
NPI 1831564954
Physician Assistant in Ontario, OR

Active since December 01, 2015PECOS Enrolled
840 SW 4TH AVE STE 105, ONTARIO, OR 97914(541) 889-2668(541) 889-2997 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Jan 6, 2025, Feb 8, 2024 and 2 more (5 updates tracked since 2015).

About Nicole Broadbent Heywood Pa-c NPPES

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

NICOLE BROADBENT HEYWOOD PA-C (NPI 1831564954) is an individual physician assistant in Ontario, Oregon, licensed in Oregon (PA186871) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831564954
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BROADBENT HEYWOODCredential: PA-C
Location Address840 SW 4TH AVE STE 105Ontario, OR 97914-2638
Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376 · Fax (208) 642-9279
Fax(541) 889-2997
Sole ProprietorNo
Enumeration DateDecember 1, 2015
Last NPPES UpdateJanuary 14, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1831564954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OR · PA186871 Licensed in ID · PA-1325
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.
840 SW 4TH AVE STE 105, Ontario, OR 97914

Other Identifiers 1

Medicaid500750422OR

Accepted 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)

Nicole Broadbent Heywood Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97914 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 13

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

Nurse Practitioner (Pediatrics)
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Clinic/Center (Federally Qualified Health Center (FQHC))
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Pediatrics
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Family Medicine
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Family Medicine
840 SW 4TH AVE STE 105
ONTARIO, OR 97914

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 Nicole Heywood's NPI number?

The NPI number for Nicole Heywood is 1831564954. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Nicole Heywood located?

Nicole Heywood practices at 840 SW 4th Ave Ste 105, Ontario, OR 97914. The listed phone number is (541) 889-2668.

What is Nicole Heywood's specialty?

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

Is Nicole Heywood enrolled in Medicare?

Yes. Nicole Heywood is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Heywood accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nicole Heywood 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 Nicole Heywood was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.