Active NPI
Chanel Marie Heermann, M.D.
- Psychiatry Physician
- Omaha, NE
National Provider Identifier
1043266562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0044171
- Practice address
- Unmc Psychiatry
985575 Nebraska Medical Center
Omaha, NE 68198-0001 - Phone
- (402) 552-6002
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31232 | AZ | |
| Psychiatry Physician | 2084P0800X | 23689 | NE | |
| Psychiatry Physician | 2084P0800X | DR.0044171 | CO | Primary |
Addresses
Primary practice location
Unmc Psychiatry
985575 Nebraska Medical Center
Omaha, NE 68198-0001
Mailing address
7609 Springfield Dr
Omaha, NE 68114-1610
Phone (308) 224-0191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 777849-03 | Medicaid | AZ |
Other names 1
- Ms. Chanel Marie Vandewege
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Nebraska College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Academy
Suite 100
Irvine, CA 92617-3024
55 Magnolia Vine LN
Smithfield, NC 27577-7385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31232 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Health Bergan Mercy Health System | Psychiatry | Past | Accepting new patients |
| State of Nebraska Dept of Admin Services | Past | Accepting new patients | |
| University Physicians Healthcare | Psychiatry | Past | Accepting new patients |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Irvine, CA
- NPI 1316584709
-
- Psychiatry Physician
- Omaha, NE
- NPI 1184897647
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- Intellectual Disabilities Intermediate Care Facility
- Beatrice, NE
- NPI 1114085826
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1730141243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1043266562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7609 SPRINGFIELD DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141610",
"telephone_number": "308-224-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNMC PSYCHIATRY",
"address_2": "985575 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681980001",
"telephone_number": "402-552-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEERMANN",
"first_name": "CHANEL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "31232",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "23689",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0044171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777849-03",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHANEL",
"last_name": "VANDEWEGE",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.