Individual provider Active NPI

Michelle Lee Heiling

  • Nurse Practitioner
  • Redwood Falls, MN
National Provider Identifier
1508373697
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5632 Issued in MN
Practice address
1100 E Broadway St
Redwood Falls, MN 56283-2247
Phone
(320) 637-2985
Fax
(507) 697-6656
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5632 MN Primary

Addresses

Primary practice location

1100 E Broadway St
Redwood Falls, MN 56283-2247

Mailing address

1100 E Broadway St
Redwood Falls, MN 56283-2247
Phone (320) 637-2985

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
I20180213001714 MN Practitioner - Nurse Practitioner 4486914488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carris Health - Redwood LLCGroup PAC ID 7911259619, shared by 6 NPIs, 42 clinicians

Practice addresses (Care Compare)

101 Caring Way
Redwood Falls, MN 56283-2624
Phone (507) 637-2985

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5632MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health - Redwood LLC Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

1100 E Broadway St
Redwood Falls, MN 56283
Phone (507) 637-2985

Interoperability endpoints

  • Direct secure messaging: mheiling436962@direct.centracare.com

Organizations & group practices 3

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 7

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1508373697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562832247",
            "telephone_number": "320-637-2985",
            "fax_number": "507-697-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562832247",
            "telephone_number": "320-637-2985",
            "fax_number": "507-697-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILING",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

Verify at the official NPI Registry.