Individual provider Active NPI

Heather Michelle Wurdeman, FNP-BC

  • Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1093420234
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-81842-051 Issued in KS
Practice address
1130 W 4TH St Ste 3204
Lawrence, KS 66044-1345
Phone
(785) 505-5815
Fax
(785) 505-5278
NPI assigned
Jan 23, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81842-051 KS Primary

Addresses

Primary practice location

1130 W 4TH St Ste 3204
Lawrence, KS 66044-1345

Mailing address

825 Romine RDG
Osage City, KS 66523-9081
Phone (785) 219-1526

Other identifiers 1

IdentifierTypeStateIssuer
30004901400001MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.wurdeman@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230315000316 KS Practitioner - Nurse Practitioner 2365816303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

634 SW Mulvane St
Suite 405
Topeka, KS 66606-1678
Phone (785) 295-8470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-81842-051KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Mar 9, 2023 Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 9, 2023 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 9, 2023 Accepting new patients
Lawrence Physicians LLC CurrentSince Mar 9, 2023 Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

1130 W 4th St
Ste 3203
Lawrence, KS 66044
Phone (785) 505-5020

1130 W 4th St
Ste 3204
Lawrence, KS 66044
Phone (785) 505-5815

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

634 SW Mulvane St
Ste 405
Topeka, KS 66606
Phone (785) 295-8470

Interoperability endpoints

  • Direct secure messaging: hwurdeman198829@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1093420234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 ROMINE RDG",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "665239081",
            "telephone_number": "785-219-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST STE 3204",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441345",
            "telephone_number": "785-505-5815",
            "fax_number": "785-505-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURDEMAN",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81842-051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004901400001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.wurdeman@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1130 W 4th St Ste 3204",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.