Heidi M Thoreson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

920 4TH Ave SW
Pipestone, MN 56164-1455

Phone

(507) 825-5700

Fax

(507) 825-4752

NPI assigned

Jan 8, 2007

Last updated

Sep 27, 2013By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN, SD2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heidi.thoreson@avera.sdhealthlink.net

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.

• Rural Health Care, Inc

  dba Access Health Worthington

  • Federally Qualified Health Center (FQHC)
  • Worthington, MN
  • NPI 1215317375
  Medicare reassignment
• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  dba Avera Medical Group Comprehensive Breast Care Sioux Falls

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1932477098
  NPD
• Pipestone Family Clinic

  dba Edgerton Family Clinic

  • Family Medicine Physician
  • Edgerton, MN
  • NPI 1891876223
  NPD (past)
• Avera McKennan

  dba Milbank Area Hospital After Hours Clinic

  • Critical Access Hospital Clinic/Center
  • Milbank, SD
  • NPI 1013024009
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1689722027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641455",
            "telephone_number": "507-825-5700",
            "fax_number": "507-825-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641455",
            "telephone_number": "507-825-5700",
            "fax_number": "507-825-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "HEIDI",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128473000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10239",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Tadlock, CRNA
• Terry L. Seeman MD (Northeast Orthopedic Center)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Pipestone)
• The Evangelical Lutheran Good Samaritan Society - Pipestone (Ridge View Estates Assisted Living)
• Kayla Jean Thooft, PHARMD
• Total Renal Care Inc (Pipestone Dialysis)
• Lan Tran
• Gary Uithoven
• Sarah Vanderstoep
• Kimberly Ann Veldhuizen, AGNP

• Physician Assistant in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.