Heather Ann Bruderer, CNM
Individual provider Active NPI Advanced Practice Midwife · Amherst, OH
NPI 1689149189 · NPPES record last updated Aug 27, 2020
Key facts
- NPI
- 1689149189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- APRN.CNM.019425 (OH)
- Practice address
- 578 N Leavitt Rd
Amherst, OH 44001-1131 - Phone
- (440) 960-3912
- Fax
- (440) 960-3913
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Lorain Specialty Care LLC
Practice addresses (Care Compare)
578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 960-3912
Hospital & facility affiliations
- Mercy Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200318000869 | OH | Practitioner - Certified Nurse Midwife (CNM) | 9739433921 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNM.019425 | OH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lorain Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Lorain, LLC | Current |
Accepting new patients | |
| Mercy Health Physicians, Lorain, LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health-Regional Medical Center LLC | Past | Accepting new patients |
Locations
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
5327 Detroit Rd
Sheffield Village, OH 44054
Phone (440) 365-2600
1605 State Route 60
Ste 8
Vermilion, OH 44089
Phone (440) 967-8713
Interoperability endpoints
- hbruderer706737@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN.CNM.019425 | OH | Yes |
Addresses
Primary practice location
578 N Leavitt Rd
Amherst, OH 44001-1131
Mailing address
578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 960-3912
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0392751 | Medicaid | OH |
Other names
- Heather Ann Richmond
Other providers in Amherst, OH
- Lynn A Bolenbaugh
- Marcella Bowden
- Wayne Brabender
- Casey Elizabeth Brown
- Christine Marie Brown
- Elizabeth A Bruot
- Ashley Victoria Bruzzese
- Addison Marie Buckholz
- Marjuci Bukovac
- Anastasia Dawn Burkes
All providers in Amherst, OH · Advanced Practice Midwife in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.