Individual provider Active NPI

Kristin G Heuermann, M.D.

  • Pediatrics Physician
  • Vadnais Heights, MN
National Provider Identifier
1316920853
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44190 Issued in MN
Practice address
4520 Centerville Rd
Vadnais Heights, MN 55127-3602
Phone
(651) 426-1141
Fax
(651) 426-1705
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44190 MN Primary

Addresses

Primary practice location

4520 Centerville Rd
Vadnais Heights, MN 55127-3602

Mailing address

4520 Centerville Rd
Vadnais Heights, MN 55127-3602
Phone (651) 426-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20050411000853 MN Practitioner - Pediatric Medicine 0749227866 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care CurrentSince Jan 1, 2015 Accepting new patients
Children's Clinic Network Current Accepting new patients
Children's Clinic Network CurrentSince Nov 1, 2014 Accepting new patients
Children's Health Care CurrentSince Jan 1, 2015 Accepting new patients
Children's Clinic Network CurrentSince Nov 1, 2014 Accepting new patients
Childrens Health Care Pediatrics Current Accepting new patients
Metropolitan Pediatric Specialists, P.a. Past Accepting new patients

Locations

14701 Victor Hugo Blvd N
Hugo, MN 55038
Phone (651) 426-1141

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050

4520 Centerville Rd
White Bear Lk, MN 55127
Phone (651) 426-1141

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316920853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CENTERVILLE RD",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551273602",
            "telephone_number": "651-426-1141",
            "fax_number": "651-426-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CENTERVILLE RD",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551273602",
            "telephone_number": "651-426-1141",
            "fax_number": "651-426-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUERMANN",
        "first_name": "KRISTIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "44190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.