Heidi C Mist, MD, MPH&TM

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A80054 Issued in CA

Practice address

1022 Jefferson St
Red Bluff, CA 96080-2726

Phone

(530) 527-7333

Fax

(530) 527-7300

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Tulane University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Care Home health agency, Redding, CA, CCN 057609
• Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heidi.mistmd.p1@direct.schc.nextgenshare.com

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.

• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1114533171
  Medicare reassignment Care Compare group
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1356815542
  NPD

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

• Dignity Health

  • General Acute Care Hospital
  • Red Bluff, CA
  • NPI 1083732853
  Care Compare affiliation
• Dignity Health

  • Home Health Agency
  • Redding, CA
  • NPI 1104944255
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Dignity Health

  • Rural Health Clinic/Center
  • Corning, CA
  • NPI 1609246461

  Hospital

  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation
• Valley View Healthcare Services LLC

  • Home Health Agency
  • Chico, CA
  • NPI 1083207237
  Care Compare affiliation

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1154461416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 JEFFERSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802726",
            "telephone_number": "530-527-7333",
            "fax_number": "530-527-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 JEFFERSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802726",
            "telephone_number": "530-527-7333",
            "fax_number": "530-527-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIST",
        "first_name": "HEIDI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD, MPH&TM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A80054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53909G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Walton Michael, M.S.
• Michael S Mikulecky, M.D.
• Anna Miles
• Geneva Lynn Miller, LVN 11
• Tracy Miranda
• Sally Mitchell-Cox, CNM
• Seth Moerkerke
• James Vincent Montana
• Teresa (Tea) Jane Montgomery
• Paul Randall Moon, D.D.S.

• General Practice Physician in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.