Individual provider Active NPI

Dana Heins, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Blue Earth, MN
National Provider Identifier
1326775958
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9364 Issued in MN
Practice address
515 S Moore St
Blue Earth, MN 56013-2158
Phone
(507) 526-3273
Fax
(507) 526-2467
NPI assigned
Aug 3, 2022
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9364 MN Primary

Addresses

Primary practice location

515 S Moore St
Blue Earth, MN 56013-2158

Mailing address

515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-3273

Other names 1

  • Dana Goettlicher Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002034 MN Practitioner - Nurse Practitioner 1658756796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Blue EarthGroup PAC ID 0941297154, 7 clinicians

Practice addresses (Care Compare)

410 S 5TH St
Mankato, MN 56001-4592
Phone (507) 304-4319

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Blue Earth CurrentSince Jul 1, 2023 Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients

Locations

410 S 5th St
Mankato, MN 56001
Phone (507) 304-4319

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1326775958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S MOORE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132158",
            "telephone_number": "507-526-3273",
            "fax_number": "507-526-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MOORE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132158",
            "telephone_number": "507-526-3273",
            "fax_number": "507-526-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINS",
        "first_name": "DANA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "GOETTLICHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Earth, MN

Sources for this page

Verify at the official NPI Registry.