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

Heather Moutvic

Individual provider Physician Assistant · NPI 1316718737

Heather Moutvic is a Physician Assistant in Prescott, Arizona. Graduated from Southern College of Medicine and Surgery in 2023, 3 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Trained at
Southern College of Medicine and Surgery
Licensed in
AZ
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

864 Dougherty St
Prescott, AZ 86305-1841
Phone: (928) 778-9667
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10252 (AZ)

Record details

NPI number1316718737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address444 E Roosevelt Rd Ste 256, Lombard, IL 60148-4630

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN COLLEGE OF MEDICINE AND SURGERY
Graduated 2023 (3 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prescott