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

Kourtney Lynn Heitkamp, CNP

Individual provider Nurse Practitioner · NPI 1558953943

Kourtney Lynn Heitkamp, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2020, 6 years ago. Practices with Pain Evaluation and Management Center of Ohio Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1550 Yankee Park Pl
Dayton, OH 45458-1868
Phone: (937) 439-4949
Fax: (937) 439-4948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0028259 (OH)

Record details

NPI number1558953943
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 7, 2021
Last updated in NPPESFebruary 7, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pain Evaluation And Management Center Of Ohio Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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