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

Mary Caitlin Samuels Heintzelman, PA-C

Individual provider Medical Physician Assistant · NPI 1619654241

Mary Caitlin Samuels Heintzelman, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2023, 3 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd Meads Hall
Winston Salem, NC 27157-0001
Phone: (484) 643-0900
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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 0010-13445 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1619654241
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

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 Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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