Individual provider Active NPI

Kayla Lee Heinrich, FNP-C

  • Family Nurse Practitioner
  • Devils Lake, ND
National Provider Identifier
1194369009
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R37555 Issued in ND
Practice address
618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone
(701) 544-7000
NPI assigned
Nov 4, 2019
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R37555 ND Primary

Addresses

Primary practice location

618 14TH Ave NE
Devils Lake, ND 58301-2808

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

3124 Colorado Ln Apt 709
Bismarck, ND 58503-5451
Phone (701) 516-4637

Other practice location 2

400 Burdick Expy E
Minot, ND 58701-4768
Phone (701) 857-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20200203000644 ND Practitioner - Nurse Practitioner 6800222365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Devils Lake CurrentSince Jul 28, 2022 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jul 28, 2022 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Legacy Primary Care PLLC Past Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1194369009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 14TH AVE NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012808",
            "telephone_number": "701-544-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 Colorado Ln Apt 709",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585035451",
            "country_code": "US",
            "telephone_number": "701-516-4637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Burdick Expy E",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014768",
            "country_code": "US",
            "telephone_number": "701-857-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "KAYLA",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R37555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

Verify at the official NPI Registry.