Heather Lynn Pokrzywinski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12051 Issued in MN

Practice address

11091 Jason Ave NE
Albertville, MN 55301-4699

Phone

(763) 684-8300

Fax

(763) 497-5852

NPI assigned

Feb 11, 2016

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, ND2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Home Care West Home health agency, Detroit Lakes, MN, CCN 248052
• Essentia Health Hospital, Fargo, ND, CCN 350070

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Innovis Health LLC

  dba Essentia Health Moorhead Clinic

  • Family Medicine Physician
  • Moorhead, MN
  • NPI 1659617504
  Medicare reassignment Care Compare group
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment NPD (past)
• Innovis Health LLC

  dba Essentia Health-Osgood Clinic

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1144776576
  NPD
• Innovis Health LLC

  dba Essentia Health South University Clinic

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1255677084
  NPD
• Innovis Health, LLC.

  dba Essentia Health Wahpeton Clinic

  • Family Medicine Physician
  • Wahpeton, ND
  • NPI 1790965440
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Marys Regional Health Center

  dba Essentia Health Home Care West

  • Home Health Agency
  • Detroit Lakes, MN
  • NPI 1720078686
  Care Compare affiliation
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1417316936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 25 N",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131930",
            "telephone_number": "763-682-1313",
            "fax_number": "763-684-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 JASON AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014699",
            "telephone_number": "763-684-8300",
            "fax_number": "763-497-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKRZYWINSKI",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Pauley, DDS
• PDG, PA
• Brian Carl Peterson, P.T.A.
• Hailey Peterson
• Lauren Kristine Phipps, D.D.S.
• Zainab Ramoni
• Manda Florence Riebel, MA, CCC-SLP
• Heidi Sawdey, D.C.
• Meaghan Schmitt
• Mary Schroter, MD

• Physician Assistant in Albertville, MN
• Providers in Albertville, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.