Organization Active NPI

Heckert Health Center, LLC

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1104213594
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110268 Issued in NE
Legal business name
HECKERT HEALTH CENTER, LLC
Practice address
109 N 29TH St
Suite 6
Norfolk, NE 68701-3251
Phone
(402) 371-0263
Fax
(402) 379-2285
NPI assigned
Apr 23, 2015
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Wende Lyn Heckert, APRNNPI 1366548570
Title
Owner Family Nurse Practitioner
Phone
(402) 371-0263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110268 NE Primary

Addresses

Primary practice location

109 N 29TH St
Suite 6
Norfolk, NE 68701-3251

Mailing address

109 N 29TH St
Suite 6
Norfolk, NE 68701-3251
Phone (402) 371-0263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514002744 NE Part B Supplier - Clinic/Group Practice 4880914829 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, NE

National Provider Directory

National Provider Directory

Locations

109 N 29th St
Ste 6
Norfolk, NE 68701
Phone (402) 371-0263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1104213594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 29TH ST",
            "address_2": "SUITE 6",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013251",
            "telephone_number": "402-371-0263",
            "fax_number": "402-379-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 29TH ST",
            "address_2": "SUITE 6",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013251",
            "telephone_number": "402-371-0263",
            "fax_number": "402-379-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECKERT HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "HECKERT",
        "authorized_official_first_name": "WENDE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "402-371-0263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.