KRISTYN EMILY HEAGERTY PA
NPI 1972057396
Physician Assistant in Madison, OH

Q: What is Kristyn Heagerty's NPI number?

The NPI number for Kristyn Heagerty is 1972057396. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Q: What is Kristyn Heagerty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristyn Heagerty was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 15, 2016PECOS EnrolledAccepts Medicare Assignment

2999 MCMACKIN RD, MADISON, OH 44057(440) 428-1111 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Feb 12, 2018, Aug 15, 2016 (3 updates tracked since 2016).

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About Kristyn Emily Heagerty Pa NPPES

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

KRISTYN EMILY HEAGERTY PA (NPI 1972057396) is an individual physician assistant in Madison, Ohio, licensed in Ohio (50.004808RX) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972057396

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTYN EMILY HEAGERTYCredential: PA

Location Address2999 MCMACKIN RDMadison, OH 44057-2330

Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4306

Phone(440) 428-1111

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 15, 2016

Last NPPES UpdateJune 6, 20223 updates tracked since enumeration

NPPES CertifiedJune 6, 2022

✔ NPI 1972057396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.004808RX

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 ListedFamily MedicineTaxonomy 207Q00000X · License 50.004808RX (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2999 MCMACKIN RD, Madison, OH 44057

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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

Kristyn Emily Heagerty 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 ID1850670688

PECOS Enrollment IDI20161117001713

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

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.

63 services61 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44057 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 14

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

MR. TERRANCE PAUL WARDROP PT

Physical Therapist