Individual provider Active NPI

Kimberly Sue Heckmann, FNP-C

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1811241326
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1012271 Issued in MN
Practice address
2500 Como Ave
Saint Paul, MN 55108
Phone
(952) 853-8800
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 F1012271 MN Primary

Addresses

Primary practice location

2500 Como Ave
Saint Paul, MN 55108

Mailing address

8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Phone (952) 853-8800

Other practice location 1

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone (612) 725-2000

Other practice location 2

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (651) 439-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000195 MN Practitioner - Nurse Practitioner 9931353612 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1012271MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tria Orthopaedic Center LLC CurrentSince Apr 1, 2014 Accepting new patients
Tria Orthopaedic Center LLC CurrentSince Apr 1, 2014 Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2014 Accepting new patients
Fairview Clinics CurrentSince May 9, 2014 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince May 9, 2014 Accepting new patients
Group Health, Inc. Current Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2014 Accepting new patients
Fairview Clinics Current Accepting new patients
Group Health, Inc. CurrentSince May 15, 2013 Accepting new patients
Group Health, Inc. CurrentSince May 15, 2013 Accepting new patients
Healthpartners, Inc. Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

1 Veterans Dr
Minneapolis, MN 55417

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

913 E 26th St
Ste 600
Minneapolis, MN 55404
Phone (612) 775-6257

8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463

800 E 28th St
#305
Minneapolis, MN 55407
Phone (612) 871-7278

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

1500 Curve Crest Blvd W
Stillwater, MN 55082

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1811241326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-853-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "952-853-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172309",
            "country_code": "US",
            "telephone_number": "612-725-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Curve Crest Blvd W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826040",
            "country_code": "US",
            "telephone_number": "651-439-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKMANN",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F1012271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.