Heidi Lind Holmes, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

165104 Issued in OR

Practice address

325 SW Upper Terrace Dr Ste 100
Bend, OR 97702-1900

Phone

(541) 330-0900

NPI assigned

Sep 26, 2013

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leslie a Carter MD LLCGroup PAC ID 9133188923, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Merit-based Incentive Payment System (MIPS)

Final score

92.5 of 100Reported as group

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00337

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.

• Leslie a. Carter M.D., LLC

  dba Deschutes Dermatology Center

  • Dermatology Physician
  • Bend, OR
  • NPI 1962431627
  Medicare reassignment Care Compare group
• Premier Wound Healing

  • Dermatology Physician
  • Bend, OR
  • NPI 1407554819
  Medicare reassignment
• Active Wound Healing

  • Dermatology Physician
  • Graham, WA
  • NPI 1679264485
  NPD (past)

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

• Cascade Healthcare Community Inc

  dba NW High Desert Sleep Center Bend

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• St. Charles Health System, Inc.

  dba St. Charles Bend

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1861829517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SW UPPER TERRACE DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021900",
            "telephone_number": "541-330-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SW UPPER TERRACE DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021900",
            "telephone_number": "541-330-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13709 210th St E",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "WA",
            "postal_code": "983386625",
            "country_code": "US",
            "telephone_number": "541-280-6201",
            "fax_number": "877-684-8059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18810 Golden Mantle Loop",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977039404",
            "country_code": "US",
            "telephone_number": "619-559-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "HEIDI",
        "middle_name": "LIND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "165104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500666417",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Jon Holly, DMD
• Kristin Simons Holmberg, LCSW
• Tim J Holmberg, MD
• Jeffrey Arthur Holmboe, M.D.
• Katharine Holmer, PT
• Sophia Holms
• John A Holpuch, DDS
• Dennis Eli Holt, BS,DMD,MS,MSED
• Kenneth Milton Holt II
• Adeline Holter, LCSW, LAC

• Medical Physician Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.