Individual provider Active NPI

Heidi Annette Sutcliffe, NP-C

  • Family Nurse Practitioner
  • South Range, MI
National Provider Identifier
1710648951
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704274056 Issued in MI
Practice address
PO Box 328
South Range, MI 49963-0328
Phone
(906) 364-0231
NPI assigned
Jan 9, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704274056 MI Primary

Addresses

Primary practice location

PO Box 328
South Range, MI 49963-0328

Mailing address

PO Box 328
South Range, MI 49963-0328
Phone (906) 364-0231

Other names 1

  • Heidi Annette Vaara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20220301001404 MI Practitioner - Nurse Practitioner 4688068083 Reassigns benefits to 1 organization
I20240620001317 TX Practitioner - Nurse Practitioner 4688068083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keweenaw Bay Indian CommunityGroup PAC ID 7315070471, 11 clinicians
Lac Vieux Desert Band of Lake Superior Chippewa IndiansGroup PAC ID 2567629181, 16 clinicians

Practice addresses (Care Compare)

102 S Superior Ave
Baraga, MI 49908-9673
Phone (906) 353-6623

N5241 US Hwy
Watersmeet, MI 49969-0009

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lac Vieux Desert Band of Lake Superior Chippewa Indians CurrentSince Apr 28, 2024 Accepting new patients
Portage Physician Practices Inc CurrentSince Mar 1, 2022 Accepting new patients
Portage Physician Practices Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 1
Hancock, MI 49930
Phone (906) 483-1040

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

N5241 US Highway 45
Watersmeet, MI 49969
Phone (906) 358-4587

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 4

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1710648951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SOUTH RANGE",
            "state": "MI",
            "postal_code": "499630328",
            "telephone_number": "906-364-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SOUTH RANGE",
            "state": "MI",
            "postal_code": "499630328",
            "telephone_number": "906-364-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTCLIFFE",
        "first_name": "HEIDI",
        "middle_name": "ANNETTE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704274056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "VAARA",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Range, MI

Sources for this page

Verify at the official NPI Registry.