Jennifer Heldebrandt, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53266 Issued in WY

Practice address

214 E 23Rd St
Cheyenne, WY 82001-3748

Phone

(618) 554-8925

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, WY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group LLCGroup PAC ID 5092094532, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lushmedicalaestheticsandwellness.jenniferheldebrandt@162353.advancedmd-direct.com

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.

• Summit Medical Group, LLC

  dba Aligned Providers of Wyoming

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1457802993
  Medicare reassignment Care Compare group NPD
• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment NPD
• The Little Clinic of Colorado, LLC

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1538354568
  Medicare reassignment NPD
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1366626269
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare affiliation

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1861128241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 GUNSMOKE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820018580",
            "telephone_number": "618-554-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "618-554-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3116 Willett Dr",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820725048",
            "country_code": "US",
            "telephone_number": "618-554-8925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 Gunsmoke Rd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820018580",
            "country_code": "US",
            "telephone_number": "618-554-8925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1338 Phay Ave Bldg D",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812122326",
            "country_code": "US",
            "telephone_number": "719-285-2091",
            "fax_number": "719-285-2092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELDEBRANDT",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0992693-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "53266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA-STATE OF COLORADO",
            "identifier": "C-RXN.0002113-C-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING BOARD OF NURSING",
            "identifier": "53266",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.kroupa@alignedproviders.com",
            "affiliation": "N",
            "endpointDescription": "Additional Contact Info",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business Contact",
            "address_1": "700 Central Expy S Ste 400",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750138113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Heidelk
• Madeline Heil
• Kathryn A Heimer, APRN
• Brittany Heinzman
• Tanie I Heitz, RN
• Rebecca Helgeson
• Michelle Hemp
• Kirsten Pauline Hendershot, LPC
• Morgan Hendrick
• Abigail Clara Hendricks

• Family Nurse Practitioner in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.