Provider profile

Nathan HeinemanMD

Orthopaedic Surgery, Hand Surgery

2 locationsNPI 1568923688
100 Kellie Dr, Smithfield, NC 27577919-220-5255

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Medicare Advantage plans for Johnston County, NC and Dallas County, TX.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 52 plans so far

Some of Humana, UnitedHealthcare, Aetna Medicare, Wellcare, Alignment Health Plan, Liberty Medicare Advantage, Baylor Scott & White Health Plan, Blue Cross and Blue Shield of North Carolina, HealthSpring, Molina Healthcare of Texas, Inc., ProCare Advantage, Verda Health Plan of Texas and Wellpoint's 2027 plans in Johnston County, NC and Dallas County, TX haven't been checked yet.

The 136 Medicare Advantage plans we show for Johnston County, NC and Dallas County, TX in 2027

  • 52 list Nathan
  • 7 not listed
  • 77 not checked yet

Humana

17 plans list Nathan.

17plans
  • Humana Gold Plus Giveback H1036-318 (HMO-POS)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520
    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH1036-318-000Medicare.gov
    $0a month
  • Humana Gold Plus Giveback H1036-343 (HMO-POS)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520
    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH1036-343-000Medicare.gov
    $0a month
  • Humana Gold Plus H6622-060 (HMO-POS)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520
    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH6622-060-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    PPONo drug coverage4 starsH5525-065-000Medicare.gov
    $0a month

25 more Humana plans haven't been checked yet.

UnitedHealthcare

13 plans list Nathan.

13plans
  • AARP Medicare Advantage from UHC NC-0017 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-098-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC NC-0022 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-038-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC NC-15 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-117-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-110-000Medicare.gov
    $0a month

14 more UnitedHealthcare plans haven't been checked yet.

Aetna Medicare

7 plans list Nathan.

7plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-241-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-081-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-348-000Medicare.gov
    $0a month
  • Aetna Medicare Value Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3146-006-000Medicare.gov
    $0a month

10 more Aetna Medicare plans haven't been checked yet.

Wellcare

7 plans list Nathan.

7plans
  • Wellcare Assist Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1914-009-000Medicare.gov
    $0a month
  • Wellcare Patriot Giveback Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3 starsH1914-011-000Medicare.gov
    $0a month
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH4073-001-000Medicare.gov
    $0a month
  • Wellcare Simple Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1914-007-000Medicare.gov
    $0a month

5 more Wellcare plans haven't been checked yet.

Alignment Health Plan

6 plans list Nathan.

6plans
  • Alignment Health Platinum 010 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH5296-010-000Medicare.gov
    $0a month
  • Alignment Health Smart 006 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH5296-006-000Medicare.gov
    $0a month
  • Alignment Health AVA 001 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH7074-001-000Medicare.gov
    $20a month
  • Alignment Health Heart & Diabetes 011 (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage4.5 starsH5296-011-000Medicare.gov
    $0a month

Liberty Medicare Advantage

2 plans list Nathan.

2plans
  • Liberty Medicare Advantage (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage3.5 starsH6351-004-000Medicare.gov
    $0a month
  • Liberty Medicare Dual Plan (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Kellie Dr, Smithfield, NC, 27577
    • 2196 Veterans Pkwy, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH6351-005-000Medicare.gov
    $17.50a month

Baylor Scott & White Health Plan

Not checked yet.

Blue Cross and Blue Shield of North Carolina

Not listed on its 7 plans here. That isn't proof they're out of network.

HealthSpring

Not checked yet.

Molina Healthcare of Texas, Inc.

Not checked yet.

ProCare Advantage

Not checked yet.

Verda Health Plan of Texas

Not checked yet.

Wellpoint

Not checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Nathan takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

2 practice locations

100 Kellie Dr
Smithfield, NC 27577

NPI Registry

1801 Inwood Rd
Dallas, TX 75235

NPI Registry
NPI issued
2019
Registry record updated
Jun 4, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Nathan Heineman?

In Johnston County, NC and Dallas County, TX, 52 Medicare Advantage plans for 2027 list Nathan in provider data from Medicare.gov or the carrier, including Humana Gold Plus Giveback H1036-318 (HMO-POS), Humana Gold Plus Giveback H1036-343 (HMO-POS) and Humana Gold Plus H6622-060 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Nathan Heineman practice?

2 locations, including 100 Kellie Dr, Smithfield, NC. All of them are listed on this page.

How do I confirm Nathan is in my plan's network?

Call the member services number on your plan card and give them the NPI 1568923688, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Nathan's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Johnston County, NC and Dallas County, TX. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-06-04). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 28, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Nathan Heineman or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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