NPIMap

Individual provider Active NPI

Heidi M Gast, CNP

  • Acute Care Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1811232366
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA.13663-NP Issued in OH
Practice address
2800 Hayes Ave
Building G
Sandusky, OH 44870-7248
Phone
(419) 609-7506
Fax
(419) 609-1826
NPI assigned
Dec 10, 2012
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X COA.13663-NP OH Primary

Addresses

Primary practice location

2800 Hayes Ave
Building G
Sandusky, OH 44870-7248

Mailing address

1031 Pierce St
Suite D
Sandusky, OH 44870-4669
Phone (419) 557-5541

Other identifiers 2

IdentifierTypeStateIssuer
COA.13663-NPOtherOHCERTIFIED NURSE PRACTITIONER
RN.245466-COA1OtherOHREGISTERED NURSE-1 CERTIFICATE OF AUTHORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130404000222 OH Practitioner - Nurse Practitioner 1951546423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.13663-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jan 3, 2013 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jan 3, 2013 Accepting new patients

Locations

1031 Pierce St
Ste D
Sandusky, OH 44870

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

2800 Hayes Ave
Bldg G
Sandusky, OH 44870
Phone (419) 609-7506

703 Tyler St
Ste 251
Sandusky, OH 44870
Phone (419) 609-7506

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: heidi.gast@fpg.medicity.net

Organizations & group practices 2

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1811232366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE",
            "address_2": "BUILDING G",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707248",
            "telephone_number": "419-609-7506",
            "fax_number": "419-609-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAST",
        "first_name": "HEIDI",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.13663-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "COA.13663-NP",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE-1 CERTIFICATE OF AUTHORITY",
            "identifier": "RN.245466-COA1",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.