Individual provider Active NPI

Heidi Cooper

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1558912790
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002820A Issued in IN
Practice address
13450 N Meridian St Ste 135
Carmel, IN 46032-1473
Phone
(317) 582-9355
NPI assigned
Sep 27, 2019
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10002820A IN Primary

Addresses

Primary practice location

13450 N Meridian St Ste 135
Carmel, IN 46032-1473

Mailing address

13450 N Meridian St Ste 135
Carmel, IN 46032-1473

Other practice location 1

333 E County Line Rd Ste B
Greenwood, IN 46143-1080
Phone (317) 497-6333

Other practice location 2

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

Other identifiers 2

IdentifierTypeStateIssuer
10002820AOtherININ STATE LICENSE
Q00416535OtherINRAILROAD MEDICARE

Other names 1

  • Heidi Hendryx Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heidi.cooper.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191018000457 IN Practitioner - Physician Assistant 4688905888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana Medical College, School of Medicine of Purdue University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 16, 2022 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 16, 2022 Accepting new patients
St. Vincent Medical Group, Inc. Physician Assistant Past Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

141 W 22nd St
Ste 214
Anderson, IN 46016
Phone (765) 643-7385

13450 N Meridian St
Ste 135
Carmel, IN 46032
Phone (317) 582-9355

13914 Southeastern Pkwy
Ste 203A
Fishers, IN 46037
Phone (317) 415-9556

333 E County Line Rd
Ste B
Greenwood, IN 46143
Phone (317) 497-6333

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8550 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 338-9300

305 S Berkley Rd
#100
Kokomo, IN 46901
Phone (765) 236-8120

Interoperability endpoints

  • Direct secure messaging: heidi.cooper.1@7598.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1558912790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 135",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 135",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321473",
            "telephone_number": "317-582-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E County Line Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431080",
            "country_code": "US",
            "telephone_number": "317-497-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4055 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "47630",
            "country_code": "US",
            "telephone_number": "812-842-2210",
            "fax_number": "812-842-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002820A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN STATE LICENSE",
            "identifier": "10002820A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00416535",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heidi.cooper.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13450 N Meridian St Ste 135",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HENDRYX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.