Heidi A Bollock, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

775404 Issued in TX

Practice address

2559 Western Trails Blvd
Ste. 200
Austin, TX 78745-1554

Phone

(512) 899-2028

Fax

(512) 899-0311

NPI assigned

Oct 18, 2012

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David'S Medical Center Hospital, Austin, TX, CCN 450431
• Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 13717-bollock-heidi@direct.leadingreach.com
• Direct secure messaging: hbollock4053@epiccwdv.hcadirect.net
• Direct secure messaging: 2375-bollock-heidi@direct.leadingreach.com

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.

• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  Medicare reassignment Care Compare group NPD

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

• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1649223645
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1528311297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "STE. 205-N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-206-4300",
            "fax_number": "512-206-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WESTERN TRAILS BLVD",
            "address_2": "STE. 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451554",
            "telephone_number": "512-899-2028",
            "fax_number": "512-899-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLOCK",
        "first_name": "HEIDI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "775404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbollock4053@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "2559 Western Trails Blvd",
            "address_2": "STE. 200",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787451554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dustin James Boling, ATP
• Mary Kathleen Bolles, PMHNP
• Mamatha Bollineni, M.D.
• Keri Lynn Bollman, PA-C
• Brennan Bollmer
• Tom N Bolls, LPC
• Alena Bolshakova, PTA
• Kim P Bolton, MD
• Larry Edward Bolton Jr., PA-C
• Ross Matthew Bomben, D.C.

• Adult Health Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.