NPIMap

Individual provider Active NPI

Heidi Nicole Von Hertlein, PA-C

  • Surgical Physician Assistant
  • Billings, MT
National Provider Identifier
1740837038
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MED-PAC-LIC-103215 Issued in MT
Practice address
2702 8TH Ave N
Billings, MT 59101-1107
Phone
(406) 238-5200
NPI assigned
Aug 21, 2019
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT921 WY
Physician Assistant 363A00000X MED-PAC-LIC-103215 MT
Physician Assistant 363A00000X PA921 WY
Surgical Physician Assistant 363AS0400X MED-PAC-LIC-103215 MT Primary

Addresses

Primary practice location

2702 8TH Ave N
Billings, MT 59101-1107

Mailing address

608 Meadowlark LN
Worland, WY 82401-2521
Phone (805) 794-1294

Other practice location 1

316 N 10th St
Worland, WY 82401-2307
Phone (307) 347-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111000103 MT Practitioner - Physician Assistant 2163825126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2702 8TH Ave N
Billings, MT 59101-1107
Phone (406) 238-5254

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA921WYMDPhysician Assistant
MED-PAC-LIC-103215MTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Nov 8, 2021 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Nov 8, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2702 8th Ave N
Billings, MT 59101
Phone (406) 238-2769

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Interoperability endpoints

  • Direct secure messaging: hlissick@billingsclinic.cernerdirect.com

Organizations & group practices 5

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 8

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1740837038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MEADOWLARK LN",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012521",
            "telephone_number": "805-794-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 8TH AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011107",
            "telephone_number": "406-238-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Worland",
            "state": "WY",
            "postal_code": "824012307",
            "country_code": "US",
            "telephone_number": "307-347-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VON HERTLEIN",
        "first_name": "HEIDI",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT921",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-103215",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA921",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "MED-PAC-LIC-103215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.