Jessica Olson Heiring
Individual provider Active NPI Neurology Physician · Golden Valley, MN
NPI 1326095092 · NPPES record last updated Mar 5, 2019
Key facts
- NPI
- 1326095092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 33078 (MN)
- Practice address
- 4225 Golden Valley Rd
Golden Valley, MN 55422-4215 - Phone
- (763) 588-0661
- Fax
- (763) 302-4346
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of Minnesota Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiology Care Clinic, LLC
Practice addresses (Care Compare)
119 Harmony Xing
Suite 3
Eatonton, GA 31024-9571
Phone (706) 485-4004
Hospital & facility affiliations
- St Marys Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212001568 | GA | Practitioner - Neurology | 6305860388 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33078 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Care Clinic, LLC | Current |
Accepting new patients | |
| Cardiology Care Clinic, LLC | Current |
Accepting new patients | |
| Carlson Chiropractic Health and Healing Inc. | Past |
Accepting new patients | |
| Ridgeview Clinics | Past | Accepting new patients |
Locations
119 Harmony Xing
Ste 3
Eatonton, GA 31024
Phone (706) 485-4004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 33078 | MN | Yes |
Addresses
Primary practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Mailing address
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 436875400 | Medicaid | MN | |
| 265049 | Other | MN | PREFERRED ONE |
| 130007652 | Other | MN | RAILROAD MEDICARE |
| HP13502 | Other | MN | HEALTHPARTNERS |
| 104791C029 | Other | MN | UCARE |
| 22667 | Other | MN | AMERICA'S PPO |
| 0526122 | Other | MN | MEDICA |
| 4D166HE | Other | MN | BCBS OF MN |
| 31871000 | Medicaid | WI |
Other providers in Golden Valley, MN
- Health West Chiropractic Center
- Healthstat Health Center Allianz
- Healthy Nation Consulting, Inc
- Mila Jacoba Heersink Dovich
- Sara L. Heinzen
- Steven Abbott Heller
- Judith Blair Henderson
- Eldina Her
- Erin Hernick
- Joshua Herrington
All providers in Golden Valley, MN · Neurology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.