Active NPI
Kimberly Sue Heckmann, FNP-C
- Family Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1012271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1012271 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Primary Care Clinic/Center
- Apple Valley, MN
- NPI 1649462508
-
- Family Medicine Physician
- Princeton, MN
- NPI 1841673647
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Pediatric Dentistry
- Minneapolis, MN
- NPI 1700932449
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Ambulatory Surgical Clinic/Center
- Minneapolis, MN
- NPI 1053314013
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.