Individual provider Active NPI

Bridget E Heckler, CNM

  • Advanced Practice Midwife
  • Saint Marys, OH
National Provider Identifier
1497780233
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
COA-00663-NM Issued in OH
Practice address
1140 S Knoxville Ave Ste B
Saint Marys, OH 45885-2609
Phone
(419) 394-7314
Fax
(419) 394-7313
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X COA-00663-NM OH Primary

Addresses

Primary practice location

1140 S Knoxville Ave Ste B
Saint Marys, OH 45885-2609

Mailing address

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 300-1129

Other practice location 1

801 Pro Dr Ste D3
Celina, OH 45822-3307
Phone (419) 394-7314

Other identifiers 4

IdentifierTypeStateIssuer
9934723OtherOHMEDICARE GROUP PTAN
1447288717OtherOHGROUP NPI
H295760OtherOHMEDICARE INDIVIDUAL PTAN
2070459MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bridgetheckler@glhs.allscriptsdirect.net
Direct Messaging Address bridgetheckler@glhs.allscriptsdirect.net
Direct Messaging Address bridgetheckler@glhs.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000051 OH Practitioner - Certified Nurse Midwife (CNM) 6406945336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

801 Pro Dr
Suite D3
Celina, OH 45822-3307
Phone (419) 394-7314

Hospital & facility affiliations

  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA-00663-NMOHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Advanced Practice Midwife CurrentSince Apr 1, 2014 Accepting new patients
Orthopaedic Institute of Ohio, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company PastSince Apr 1, 2014 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients

Locations

801 Pro Dr
Ste D3
Celina, OH 45822
Phone (419) 394-7314

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

1067 Hager St
Saint Marys, OH 45885
Phone (419) 394-7314

1140 S Knoxville Ave
Ste B
Saint Marys, OH 45885
Phone (419) 394-7314

Interoperability endpoints

  • Direct secure messaging: bridgetheckler@glhs.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1497780233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-300-1129",
            "fax_number": "419-394-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE B",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-394-7314",
            "fax_number": "419-394-7313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Pro Dr Ste D3",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "OH",
            "postal_code": "458223307",
            "country_code": "US",
            "telephone_number": "419-394-7314",
            "fax_number": "419-394-7313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKLER",
        "first_name": "BRIDGET",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA-00663-NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "9934723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1447288717",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "H295760",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070459",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridgetheckler@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "801 Pro Dr Ste D3",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458223307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridgetheckler@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1067 Hager St",
            "address_2": "Grand Lake OB/GYN",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridgetheckler@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1140 S Knoxville Ave Ste B",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.