Heather Jane Reeve, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9577 Issued in MN

Practice address

1411 State Hwy 79 East
Elbow Lake, MN 56531

Phone

(218) 685-7300

Fax

(218) 685-6749

NPI assigned

Nov 29, 2005

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095
  Medicare reassignment NPD
• Lifecare Medical Center

  • Rural Health Clinic/Center
  • Warroad, MN
  • NPI 1619724077
  NPD

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1467435990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372913",
            "telephone_number": "218-736-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 STATE HWY 79 EAST",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "56531",
            "telephone_number": "218-685-7300",
            "fax_number": "218-685-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVE",
        "first_name": "HEATHER",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787625400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Alan Norenberg, P.T.A.
• Jasey Lauren Olsen, P.T.
• Kristy Peyerl, RPH
• Larry Lloyd Rapp, D.O.
• Brianna Rasmusson, PT
• Region 4 South Adult Mental Health Consortium
• Katrina Rebecca Rogahn, PA-C
• Sarah Marie Schmall, RN
• Thane Steven Schmidt, P.T.
• Trumm Drug Inc

• Medical Physician Assistant in Elbow Lake, MN
• Providers in Elbow Lake, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.