Active NPI
Holly A Hedge, APNP
- Nurse Practitioner
- Oshkosh, WI
National Provider Identifier
1043451412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3689
- Practice address
- 600 N Westhaven Dr
Oshkosh, WI 54904-6926 - Phone
- (920) 237-5000
- Fax
- (920) 237-5001
- NPI assigned
- Mar 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3689 | WI | |
| Nurse Practitioner | 363L00000X | 3689 | WI | Primary |
Addresses
Primary practice location
600 N Westhaven Dr
Oshkosh, WI 54904-6926
Mailing address
PO Box 8003
Appleton, WI 54912-8003
Phone (920) 996-3264
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hhedge14227986@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3689 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- hhedge14227986@direct.sanfordhealth.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1184310609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1043451412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8003",
"city": "APPLETON",
"state": "WI",
"postal_code": "549128003",
"telephone_number": "920-996-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WESTHAVEN DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549046926",
"telephone_number": "920-237-5000",
"fax_number": "920-237-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGE",
"first_name": "HOLLY",
"middle_name": "A",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "3689",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "3689",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hhedge14227986@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "1205 S Grange Ave",
"city": "Sioux Falls",
"state": "SD",
"country_code": "US",
"postal_code": "571050407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.