JOHN M HEUSINKVELD MD
NPI 1922082973
Obstetrics & Gynecology in Tuba City, AZ
About John M Heusinkveld Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN M HEUSINKVELD MD (NPI 1922082973) is an individual obstetrics & gynecology provider in Tuba City, Arizona, licensed in Arizona (31147) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted 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
John M Heusinkveld Md 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.
Medicare Billing Reassignment
Medicare enrollment records show John Heusinkveld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 1,514 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TUBA CITY, AZ 86045
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 John Heusinkveld's NPI number?
The NPI number for John Heusinkveld is 1922082973. It was assigned to this individual provider in the NPPES registry on December 2, 2005.
Where is John Heusinkveld located?
John Heusinkveld practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.
What is John Heusinkveld's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is John Heusinkveld enrolled in Medicare?
Yes. John Heusinkveld 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 John Heusinkveld's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Heusinkveld reassigns Medicare benefits to Banner-University Medical Group (Phoenix, AZ). 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 John Heusinkveld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Heusinkveld accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list John Heusinkveld 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 John Heusinkveld was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# John M Heusinkveld, MD · NPI 1922082973
Obstetrics & Gynecology physician in Tuba City, Arizona. Individual provider, active in the CMS NPPES registry since December 2, 2005.
## Identity
- **NPI:** 1922082973 (Entity type: Individual)
- **Enumerated:** December 2, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 31147 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 167 NORTH MAIN STREET, Tuba City, AZ 86045-0600
- **Phone:** (928) 283-2501 · **Fax:** (928) 283-2677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner-University Medical Group (NPI 1508809427, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** June 23, 2011
- **Other identifiers:** Medicare UPIN H97624; Medicaid 49602021 (CO); Medicaid 813940 (AZ); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1922082973) · Data from the CMS NPPES public registry.