Individual provider Active NPI

Heather M. Leier, FNP-C

  • Family Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1225057417
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R26704 Issued in ND
Practice address
304 E Broadway Ave RM 353
Bismarck, ND 58501-4082
Phone
(701) 255-2048
Fax
(701) 255-2066
NPI assigned
Jul 19, 2006
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R26704 ND
Family Nurse Practitioner 363LF0000X R26704 ND Primary

Addresses

Primary practice location

304 E Broadway Ave RM 353
Bismarck, ND 58501-4082

Mailing address

304 E Broadway Ave RM 353
Bismarck, ND 58501-4082
Phone (701) 255-2048

Other identifiers 1

IdentifierTypeStateIssuer
1452854MedicaidND

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
I20070127000101 ND Practitioner - Nurse Practitioner 6103823463 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Dec 3, 2007 Accepting new patients
St. Alexius Medical Center CurrentSince Dec 3, 2007 Accepting new patients
Regional Neurological Center PC PastSince Aug 22, 2006 Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1225057417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E BROADWAY AVE RM 353",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014082",
            "telephone_number": "701-255-2048",
            "fax_number": "701-255-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E BROADWAY AVE RM 353",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014082",
            "telephone_number": "701-255-2048",
            "fax_number": "701-255-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIER",
        "first_name": "HEATHER",
        "middle_name": "M.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R26704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R26704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452854",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.