Individual provider Active NPI

Heather Bidinger, PA

  • Physician Assistant
  • Redwood Falls, MN
National Provider Identifier
1861448706
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9423 Issued in MN
Practice address
1100 E Broadway St
Redwood Falls, MN 56283-2247
Phone
(507) 637-2985
NPI assigned
May 25, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9423 MN Primary

Addresses

Primary practice location

1100 E Broadway St
Redwood Falls, MN 56283-2247

Mailing address

8170 Old Carriage CT
Shakopee, MN 55379-3163
Phone (952) 428-3600

Other identifiers 5

IdentifierTypeStateIssuer
731157500MedicaidMN
101M8BIOtherBCBS
1023789OtherPREFERRED ONE
411690591OtherCHAMPUS
HP32789OtherHELATH PARTNERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address htersteegbidinger489575@direct.centracare.com Direct

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
I20041217000611 MN Practitioner - Physician Assistant 6608833959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carris Health - Redwood LLCGroup PAC ID 7911259619, 42 clinicians

Practice addresses (Care Compare)

101 Caring Way
Redwood Falls, MN 56283-2624
Phone (507) 637-2985

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9423MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health - Redwood LLC Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Dec 7, 2019 Accepting new patients
Carris Health - Redwood LLC CurrentSince Dec 7, 2019 Accepting new patients
Redwood Area Hospital Current Accepting new patients
Emergency Physicians & Consultants, PA Past Accepting new patients

Locations

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

1100 E Broadway St
Redwood Falls, MN 56283
Phone (507) 637-2985

Interoperability endpoints

  • Direct secure messaging: htersteegbidinger489575@direct.centracare.com

Organizations & group practices 6

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 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1861448706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793163",
            "telephone_number": "952-428-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562832247",
            "telephone_number": "507-637-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDINGER",
        "first_name": "HEATHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731157500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "101M8BI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1023789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "411690591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HELATH PARTNERS",
            "identifier": "HP32789",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "htersteegbidinger489575@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "htersteegbidinger489575@direct.centracare.com",
            "address_1": "1100 E Broadway St",
            "city": "Redwood Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562832247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

Verify at the official NPI Registry.