WILLIAM DEREK HEINLEN PA NPI 1356016182

NPI Information

  • NPI: 1356016182
  • Provider Name: WILLIAM DEREK HEINLEN, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14430 US HIGHWAY 1 STE 101
    SEBASTIAN, FL
    ZIP 32958
  • Phone: (772) 581-8003

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NPI Details

William Derek Heinlen, PA is a surgical physician assistant in Sebastian, FL with 5 years of experience. William Derek Heinlen, PA NPI is 1356016182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14430 US HIGHWAY 1 STE 101
SEBASTIAN, FL
ZIP 32958-289
Phone: (772) 581-8003
Fax: (772) 581-8005

The NPI 1356016182 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 4/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgicalPA9115153FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120201000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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