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ADRIENNE HEUSMANN MMS, PA-C
NPI 1992229785
Physician Assistant in Crestview Hills, KY

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
334 THOMAS MORE PKWY STE 120, CRESTVIEW HILLS, KY 41017(859) 301-0591 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2022, Aug 29, 2018, Aug 2, 2017 (3 updates tracked since 2017).

About Adrienne Heusmann Mms, Pa-c NPPES

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

ADRIENNE HEUSMANN MMS, PA-C (NPI 1992229785) is an individual physician assistant in Crestview Hills, Kentucky, licensed in Kentucky (PA2226) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2017).

NPPES Registry Identity

NPI1992229785
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADRIENNE HEUSMANNCredential: MMS, PA-C
Location Address334 THOMAS MORE PKWY STE 120Crestview Hills, KY 41017
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940
Phone(859) 301-0591
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2017
Enumeration DateAugust 2, 2017
Last NPPES UpdateApril 25, 20223 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1992229785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA2226
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.
334 THOMAS MORE PKWY STE 120, Crestview Hills, KY 41017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Adrienne Heusmann Mms, Pa-c 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 ID2466724463
PECOS Enrollment IDI20170825003045
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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
61 services17 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.
58 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%23 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DAVID EDWARDS APRN, MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
334 THOMAS MORE PKWY STE 120
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-5901

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 Adrienne Heusmann's NPI number?

The NPI number for Adrienne Heusmann is 1992229785. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Adrienne Heusmann located?

Adrienne Heusmann practices at 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017. The listed phone number is (859) 301-0591.

What is Adrienne Heusmann's specialty?

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

Is Adrienne Heusmann enrolled in Medicare?

Yes. Adrienne Heusmann 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 Adrienne Heusmann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Adrienne Heusmann 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 Adrienne Heusmann was last updated on April 25, 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.