Individual provider Active NPI

Heather Gaudard, FNP-C

  • Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1225524903
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704300581 Issued in MI
Practice address
200 Health Park Drive
Owosso, MI 48867-4886
Phone
(989) 723-8666
Fax
(989) 725-1434
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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 4704300581 MI Primary

Addresses

Primary practice location

200 Health Park Drive
Owosso, MI 48867-4886

Mailing address

200 Health Park Dr
Owosso, MI 48867-1291
Phone (989) 723-8666

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
I20181018000126 MI Practitioner - Nurse Practitioner 1153673215 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians
Compass Healthcare, PLLCGroup PAC ID 6002045895, 23 clinicians
Cancer and Hematology Centers of Western Mi, P.C.Group PAC ID 4082526793, 109 clinicians

Practice addresses (Care Compare)

1004 E Michigan Ave
Lansing, MI 48912-1809
Phone (517) 364-9790

1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100

1120 E Michigan Ave
Suite a
Lansing, MI 48912-1810
Phone (517) 364-5300

1120 E Michigan Ave a
Lansing, MI 48912-1810

1625 Ramblewood Dr
East Lansing, MI 48823-6367
Phone (517) 324-3700

2682 E Grand River Ave
East Lansing, MI 48823-5608

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Compass Healthcare, PLLC CurrentSince Sep 15, 2020 Accepting new patients
Sparrow Carson Hospital CurrentSince Jan 4, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Compass Healthcare PLC CurrentSince Sep 15, 2020 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Eaton Hospital CurrentSince Jan 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2019 Accepting new patients
Sparrow Eaton Hospital CurrentSince Jan 1, 2021 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 4, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Jan 4, 2025 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 4, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

123 Lansing St
Charlotte, MI 48813
Phone (517) 543-2020

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

1625 Ramblewood Dr
Ste 1
East Lansing, MI 48823
Phone (517) 324-3700

1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659

2175 Coolidge Rd
East Lansing, MI 48823
Phone (517) 349-1379

1625 Ramblewood Dr
East Lansing, MI 48823
Phone (517) 324-3700

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • Direct secure messaging: heathergaudard@compass.allscriptsdirect.net

Organizations & group practices 17

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 17

Hospital & facility affiliations 3

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1225524903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671291",
            "telephone_number": "989-723-8666",
            "fax_number": "989-725-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DRIVE",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488674886",
            "telephone_number": "989-723-8666",
            "fax_number": "989-725-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDARD",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704300581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.