Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Heitkamp, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1922884139

Alyssa Heitkamp, PHYSICIANASSISTANT is a Physician Assistant in Enid, Oklahoma. Qualified in 2023, 3 years ago. Practices with Physician Services of the Gulf Coast LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2023
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Practice location Address checks out

220 S Van Buren St
Enid, OK 73703-5812
Phone: (580) 234-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5442 (OK)

Record details

NPI number1922884139
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 4, 2023
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Services Of The Gulf Coast Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Enid