Doctor profile · Federal record
Dr. Heather Nunnelly, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Fort Lauderdale, FL
- NPI 1114458122
- Accepts Medicare
- 10 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1600 S Andrews Ave Ste 101
Fort Lauderdale, FL 333162510
(954) 355-4345
fax (954) 355-4889 - Mailing address
-
1608 Se 3Rd Ave Fl 3
Fort Lauderdale, FL 333162564
Credentials & registration
- NPI registered
- March 2017 — 9 yrs on file
- Profile last updated
- October 20, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Florida #PA9109811
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114458122. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$152
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $124.99 | |
| Heron Therapeutics, Inc. | 1 | $26.73 |
By nature of payment
Frequently asked questions
What is Dr. Heather Nunnelly's medical specialty?
Dr. Heather Nunnelly practices Surgical Physician Assistant in Fort Lauderdale, FL.
Where does Dr. Heather Nunnelly practice?
Dr. Heather Nunnelly practices at 1600 S Andrews Ave Ste 101, Fort Lauderdale, FL 333162510. Office phone: 9543554345.
What is Dr. Heather Nunnelly's NPI?
Dr. Heather Nunnelly's National Provider Identifier (NPI) is 1114458122, issued by NPPES.
Does Dr. Heather Nunnelly accept Medicare assignment?
Yes. Dr. Heather Nunnelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.