Individual provider Active NPI

Michele Hedderman, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1083969984
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.05281-NP Issued in OH
Practice address
793 W State St
Columbus, OH 43222-1551
Phone
(330) 221-5017
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.05281-NP OH Primary

Addresses

Primary practice location

793 W State St
Columbus, OH 43222-1551

Mailing address

5279 Woodbridge Ave
Powell, OH 43065-8603
Phone (614) 336-1753

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTD 471 clinicians

Practice addresses (Care Compare)

7277 Smiths Mill Rd
Suite 250
New Albany, OH 43054-8196
Phone (614) 221-3725

Hospital & facility affiliations

  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050729000875 OH Practitioner - Nurse Practitioner 0244268324 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Inpatient Care Inc. CurrentSince Apr 15, 2017 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Nov 4, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Nov 4, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Heart Group, Inc. Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

7277 Smiths Mill Rd
Ste 250
New Albany, OH 43054
Phone (614) 221-3725

Interoperability endpoints

  • Direct secure messaging: mhedderman1158138@direct.trinity-health.org
  • Direct secure messaging: michele.hedderman.p1@direct.beaconortho.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1083969984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5279 WOODBRIDGE AVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658603",
            "telephone_number": "614-336-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "330-221-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDERMAN",
        "first_name": "MICHELE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.05281-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.