Individual provider Active NPI

Heidi Lambert, DNP AGPCNP-C

  • Primary Care Nurse Practitioner
  • Montrose, MI
National Provider Identifier
1902347685
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704196842 Issued in MI
Practice address
9317 Vienna Rd
Montrose, MI 48457-9729
Phone
(989) 239-0200
NPI assigned
Mar 15, 2017
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704196842 MI Primary
Registered Nurse 163W00000X 4704196842 MI
Case Management Registered Nurse 163WC0400X 4704196842 MI
Community Health Registered Nurse 163WC1500X 4704196842 MI
Continuing Education/Staff Development Registered Nurse 163WC1600X 4704196842 MI
Continence Care Registered Nurse 163WC2100X 4704196842 MI
Cardiac Rehabilitation Registered Nurse 163WC3500X 4704196842 MI
Diabetes Educator Registered Nurse 163WD0400X 4704196842 MI
General Practice Registered Nurse 163WG0000X 4704196842 MI
Gastroenterology Registered Nurse 163WG0100X 4704196842 MI
Gerontology Registered Nurse 163WG0600X 4704196842 MI
Home Health Registered Nurse 163WH0200X 4704196842 MI
Hospice Registered Nurse 163WH1000X 4704196842 MI
Infection Control Registered Nurse 163WI0600X 4704196842 MI
Medical-Surgical Registered Nurse 163WM0705X 4704196842 MI

Addresses

Primary practice location

9317 Vienna Rd
Montrose, MI 48457-9729

Mailing address

2801 Dawn Dr
Midland, MI 48642-4754
Phone (989) 239-0200

Other practice location 1

1500 Weiss St
Saginaw, MI 48602-5251
Phone (989) 497-2500 ext. 11246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170720002552 MI Practitioner - Nurse Practitioner 2860762077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1500 Spring St
Petoskey, MI 49770-9295
Phone (888) 408-7008

500 W Genesee St
Frankenmuth, MI 48734-1313
Phone (989) 652-6101

9317 Vienna Rd
Montrose, MI 48457-9729
Phone (810) 639-6171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704196842MIMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 14, 2025 Accepting new patients
Theoria Medical CurrentSince Jun 1, 2020 Accepting new patients
Jose L Raygada MD PLLC CurrentSince Feb 4, 2019 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

500 W Genesee St
Frankenmuth, MI 48734
Phone (989) 652-6101

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

2125 Ridgewood Dr
Midland, MI 48642
Phone (989) 254-6427

4900 Hedgewood Dr
Midland, MI 48640
Phone (989) 631-9670

9317 Vienna Rd
Montrose, MI 48457
Phone (810) 639-6170

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 5

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 4

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1902347685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DAWN DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486424754",
            "telephone_number": "989-239-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 VIENNA RD",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484579729",
            "telephone_number": "989-239-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Weiss St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025251",
            "country_code": "US",
            "telephone_number": "989-497-2500 x11246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "HEIDI",
        "credential": "DNP AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704196842",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MI",
            "license": "4704196842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, MI

Sources for this page

Verify at the official NPI Registry.