Individual provider Active NPI

Heidi Renee Pusey, CNP

  • Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1194012302
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704221349 Issued in MI
Practice address
1401 W North St
Jackson, MI 49202-3135
Phone
(517) 782-2555
Fax
(517) 782-3399
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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 4704221349 MI Primary

Addresses

Primary practice location

1401 W North St
Jackson, MI 49202-3135

Mailing address

PO Box 67000
Department 272801
Detroit, MI 48267-2728
Phone (517) 782-2555

Other names 1

  • Heidi R Baldwin 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
I20111102000549 MI Practitioner - Nurse Practitioner 6103099429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eaton Rapids Medical CenterGroup PAC ID 5991692634, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

1500 S Main St
Ermc Swing Bed
Eaton Rapids, MI 48827-1952
Phone (517) 663-2671

Hospital & facility affiliations

  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Rapids Medical Center Current Accepting new patients
Eaton Rapids Medical Center CurrentSince May 10, 2022 Accepting new patients
Eaton Rapids Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Eaton Rapids Medical Center CurrentSince Nov 1, 2021 Accepting new patients
McLaren Greater Lansing Nurse Practitioner Past Accepting new patients

Locations

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

1500 S Main St
#C
Eaton Rapids, MI 48827

400 E Main St
#200
Springport, MI 49284
Phone (517) 857-4500

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1194012302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "DEPARTMENT 272801",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "517-782-2555",
            "fax_number": "517-782-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W NORTH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023135",
            "telephone_number": "517-782-2555",
            "fax_number": "517-782-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSEY",
        "first_name": "HEIDI",
        "middle_name": "RENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704221349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BALDWIN",
            "middle_name": "R",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.