Individual provider Active NPI

Heidi J Pendleton, MSW LCSW LISW

  • Clinical Social Worker
  • Indianola, IA
National Provider Identifier
1376584847
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135255 Issued in IA
Practice address
310 N Buxton St
Indianola, IA 50125-2444
Phone
(515) 358-7610
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7188 WI
Clinical Social Worker 1041C0700X 135255 IA Primary

Addresses

Primary practice location

310 N Buxton St
Indianola, IA 50125-2444

Mailing address

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 358-7610

Other identifiers 1

IdentifierTypeStateIssuer
40939200MedicaidWI

Other names 1

  • Heidi J Bauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051020000672 WI Practitioner - Clinical Social Worker 6507882362
I20260529003966 IA Practitioner - Clinical Social Worker 6507882362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1409 Clark St
Des Moines, IA 50314-1999

1449 NW 128TH St
Suite 110
Clive, IA 50325-7425

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.16
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135255IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
House of Mercy CurrentSince Apr 26, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Past Accepting new patients

Locations

310 N Buxton St
Indianola, IA 50125
Phone (515) 358-7610

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1376584847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-358-7610",
            "fax_number": "515-358-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252444",
            "telephone_number": "515-358-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "HEIDI",
        "middle_name": "J",
        "credential": "MSW LCSW LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7188",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "135255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40939200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BAUER",
            "middle_name": "J",
            "credential": "MSW, LCSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianola, IA

Sources for this page

Verify at the official NPI Registry.