Individual ProviderDesiree HeimNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825-1545(260) 266-5260PECOS EnrollmentBased on the most recent information from CMS, provider Desiree Heim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1558769687Provider TypeIndividualFull NameHeim, DesireeCredentialNPGenderFemaleSole ProprietorNoEnumeration Date12/5/2014Last Updated8/15/2022Contact InformationPractice LocationPractice Address1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825-1545Phone(260) 266-5260Fax(260) 458-5913Mailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71005343AIndianaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense28182504AIndiana