Individual provider Active NPI

Daniel L Hedinger II, FNP

  • Family Nurse Practitioner
  • Jasper, IN
National Provider Identifier
1073674396
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002278A Issued in IN
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

Updated by the provider on Apr 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00371299OtherINMEDICARE RAILROAD CARRIER
000000541036OtherINANTHEM BC/BS
200856550MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince Sep 1, 2013 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Sep 1, 2013 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.

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

Verify at the official NPI Registry.