Individual provider Active NPI

Heidi Ann Wonder, CPNP-PC

  • Pediatric Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1861223463
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
115552 Issued in NE
Practice address
2116 W Faidley Ave Ste 2100
Grand Island, NE 68803-4602
Phone
(308) 382-4297
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 115552 NE Primary

Addresses

Primary practice location

2116 W Faidley Ave Ste 2100
Grand Island, NE 68803-4602

Mailing address

409 S Smith Ave
Kenesaw, NE 68956-1503
Phone (308) 991-1351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20241002002380 NE Practitioner - Nurse Practitioner 3678004546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Health Center Inc CurrentSince Sep 25, 2024 Accepting new patients
Heartland Health Center, Inc. Single Specialty CurrentSince Sep 25, 2024 Accepting new patients

Locations

423 W 4th St
Grand Island, NE 68801
Phone (308) 382-4297

2116 W Faidley Ave
Ste 2100
Grand Island, NE 68803
Phone (308) 382-4297

223 E 14th St
Ste 100
Hastings, NE 68901
Phone (308) 382-4297

104 W Seneca St
Ravenna, NE 68869
Phone (308) 236-7016

Interoperability endpoints

  • Direct secure messaging: heidi.wonder.p1@direct.heartlandhealth.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1861223463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S SMITH AVE",
            "city": "KENESAW",
            "state": "NE",
            "postal_code": "689561503",
            "telephone_number": "308-991-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE STE 2100",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034602",
            "telephone_number": "308-382-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDER",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "115552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.