Active NPI
Susan J. Wegelt Heinz, CNM, NP
- Advanced Practice Midwife
- Corvallis, OR
National Provider Identifier
1144266362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 087006416RN/N5
- Practice address
- 2314 NW Kings Blvd
Ste a
Corvallis, OR 97330-3925 - Phone
- (541) 286-4030
- Fax
- (541) 286-4158
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 087006416RN/N5 | OR | Primary |
Addresses
Primary practice location
2314 NW Kings Blvd
Ste a
Corvallis, OR 97330-3925
Mailing address
2314 NW Kings Blvd
Ste a
Corvallis, OR 97330-3925
Phone (541) 286-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20040825000340 | OR | Practitioner - Nurse Practitioner | 7618941626 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087006416RN/N5 | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corvallis Birth and Womens Health Center | Current | Accepting new patients | |
| Heart of the Valley Gynecology and Sexual Health | Advanced Practice Midwife | Current | Accepting new patients |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Firstcare Medical Foundation | Past | Accepting new patients |
Locations
2211 NW Professional Dr
Ste 202
Corvallis, OR 97330
Phone (541) 919-5778
2314 NW Kings Blvd
#A
Corvallis, OR 97330
Phone (541) 286-4030
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.
-
- Obstetrics & Gynecology Nurse Practitioner
- Corvallis, OR
- NPI 1649082678
Advanced Practice Midwife
-
- Birthing Clinic/Center
- Corvallis, OR
- NPI 1831553452
-
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1144266362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 NW KINGS BLVD",
"address_2": "STE A",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303925",
"telephone_number": "541-286-4030",
"fax_number": "541-286-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 NW KINGS BLVD",
"address_2": "STE A",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303925",
"telephone_number": "541-286-4030",
"fax_number": "541-286-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGELT HEINZ",
"first_name": "SUSAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "CNM, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "087006416RN/N5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.