Active NPI
Daniel L Hedinger II, FNP
- Family Nurse Practitioner
- Jasper, IN
National Provider Identifier
1073674396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002278A
- Practice address
- 695 W 2ND St
Jasper, IN 47546-3240 - Phone
- (812) 996-5750
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002278A | IN | Primary |
Addresses
Primary practice location
695 W 2ND St
Jasper, IN 47546-3240
Mailing address
695 W 2ND St
Jasper, IN 47546-3240
Phone (812) 996-5750
Other practice location 1
822 W 1st St
Suite 7
Bloomington, IN 47403
Phone (812) 333-4327
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00371299 | Other | IN | MEDICARE RAILROAD CARRIER |
| 000000541036 | Other | IN | ANTHEM BC/BS |
| 200856550 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070313000557 | IN | Practitioner - Nurse Practitioner | 6507969458 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Bloomington Cardiology PC | Past | Accepting new patients |
Locations
695 2nd St
Jasper, IN 47546
Phone (812) 482-4111
6402 E Industrial Ln
Leavenworth, IN 47137
Phone (855) 315-4944
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Huntingburg, IN
- NPI 1114120128
IN
-
- Pain Medicine Physician
- Jasper, IN
- NPI 1457164543
-
- Family Medicine Physician
- Jasper, IN
- NPI 1770846057
-
- Cardiovascular Disease Physician
- Bloomington, IN
- NPI 1558423806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1073674396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 W 2ND ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475463240",
"telephone_number": "812-996-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 W 2ND ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475463240",
"telephone_number": "812-996-5750"
}
],
"practiceLocations": [
{
"address_1": "822 W 1st St",
"address_2": "Suite 7",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "47403",
"country_code": "US",
"telephone_number": "812-333-4327",
"fax_number": "812-961-1521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDINGER",
"first_name": "DANIEL",
"middle_name": "L",
"name_suffix": "II",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002278A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD CARRIER",
"identifier": "P00371299",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000541036",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200856550",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.