Danielle Jo Heifort, APRN, CNP
Individual provider Active NPI Pediatric Nurse Practitioner · Wahpeton, ND
NPI 1730748948 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1730748948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- R41310 (ND)
- Practice address
- 275 11TH St S
Wahpeton, ND 58075-4655 - Phone
- (701) 642-2000
- Fax
- (701) 671-4106
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723003195 | ND | Practitioner - Nurse Practitioner | 7315273737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Current |
Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
275 11th St S
Wahpeton, ND 58075
Phone (701) 642-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R41310 | ND | Yes |
Addresses
Primary practice location
275 11TH St S
Wahpeton, ND 58075-4655
Mailing address
400 E 3Rd Street
Duluth, MN 55805-1951
Other names
- Danielle Jo Mullin
Other providers in Wahpeton, ND
- James Edward Halvorson
- Emily Donna Hanson
- Kristen Hasbargen
- Mary Jane Hayes
- Healing Arts Chiropractic, PC
- Kristi Heilman
- Helping Hands Compassionate Care
- Elizabeth Hermes
- Veronica Herrera
- Sarah Hill
All providers in Wahpeton, ND · Pediatric Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.