Heidi Hafer, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0028182 Issued in OH

Practice address

23214 Ranch Rd
Beachwood, OH 44122-1565

Phone

(216) 356-6550

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

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.

• Primus Wound Care Inc

  • Surgery Physician
  • Beachwood, OH
  • NPI 1285159806
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1902442445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440961086",
            "telephone_number": "166-457-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23214 RANCH RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221565",
            "telephone_number": "216-356-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER",
        "first_name": "HEIDI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.458466",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gutman, M.D.
• Ann Helen Guzauskas, AU.D.
• H Ross Lowenstein Inc
• Haber Dermatology Inc.
• Robert S. Haber, M.D.
• Eiman Hag
• Alexis N Hagan
• Denise Hagen
• Katharine Jo Hahn, PHD
• Melkon O. Hajinazarian, M.D.

• Nurse Practitioner in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.