Heidi Marie Hoppe, RN, ACNS, PMHNP

Key facts

NPI: 1881074367
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 8169 (MN)
Practice address: 401 Prairie Ave NE
Staples, MN 56479-3201
Phone: (218) 894-8205
Fax: (218) 894-8218
NPI assigned: Jun 1, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

William B Orr Consulting PA Geriatric Psychiatry Physician · Saint Paul, MN · NPI 1679802797

Medicare reassignment Care Compare group MN

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: William B Orr Consulting PA (3 clinicians)

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (651) 528-8183

720 Main St
Suite 204
Mendota Heights, MN 55118-1800

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210608001310	MN	Practitioner - Nurse Practitioner	8426213315	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
CNS 0333	MN	MD	Adult Health Clinical Nurse Specialist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Clinical Nurse Specialist	364SA2200X	CNS 0333	MN
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	8169	MN	Yes

Addresses

Primary practice location

401 Prairie Ave NE
Staples, MN 56479-3201

Mailing address

42935 Quartz Rd
Staples, MN 56479-5169
Phone (320) 493-5487

Other names

Heidi Marie Wilder Former name

Other providers in Staples, MN

All providers in Staples, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.