Individual provider Active NPI

Heather Marie Williams, PA-C

  • Physician Assistant
  • White Cloud, MI
National Provider Identifier
1144699125
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007554 Issued in MI
Practice address
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone
(231) 689-5943
Fax
(231) 689-1590
NPI assigned
Sep 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007554 MI Primary

Addresses

Primary practice location

1035 E Wilcox Ave
White Cloud, MI 49349-8794

Mailing address

21422 15 Mile Rd
Leroy, MI 49655-8524
Phone (231) 388-3746

Other practice location 1

730 Water Tower Rd
Big Rapids, MI 49307-2160
Phone (231) 527-7150

Other names 1

  • Heather Oberdank Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160608001153 MI Practitioner - Physician Assistant 4981994639 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, shared by 9 NPIs, 128 clinicians

Practice addresses (Care Compare)

121 N Pine River St
Ithaca, MI 48847-1039
Phone (989) 875-5111

602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5117

602 Beech St
Suite 1100
Clare, MI 48617-1476
Phone (989) 386-9911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare Physician Assistant CurrentSince May 13, 2024 Accepting new patients
Mymichigan Medical Center Alma CurrentSince May 13, 2024 Accepting new patients
Baldwin Family Health Care CurrentSince Oct 4, 2022 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jul 18, 2024 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jul 18, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 18, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 18, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 18, 2024 Accepting new patients
Baldwin Family Health Care CurrentSince Oct 4, 2022 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 18, 2024 Accepting new patients
Mymichigan Medical Center Clare CurrentSince May 13, 2024 Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

730 Water Tower Rd
Big Rapids, MI 49307
Phone (231) 527-7150

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Interoperability endpoints

  • Direct secure messaging: hwilliams152862@mymichiganhealth.midirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1144699125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21422 15 MILE RD",
            "city": "LEROY",
            "state": "MI",
            "postal_code": "496558524",
            "telephone_number": "231-388-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E WILCOX AVE",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498794",
            "telephone_number": "231-689-5943",
            "fax_number": "231-689-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Water Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493072160",
            "country_code": "US",
            "telephone_number": "231-527-7150",
            "fax_number": "231-796-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-19",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "OBERDANK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Cloud, MI

Sources for this page

Verify at the official NPI Registry.