Individual provider Active NPI

Heather A Pelock Hjelle, APNP BC

  • Nurse Practitioner
  • Rhinelander, WI
National Provider Identifier
1932396959
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
323833 Issued in WI
Practice address
1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone
(715) 361-5480
Fax
(715) 361-5499
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 323833 WI Primary

Addresses

Primary practice location

1630 Chippewa Dr
Rhinelander, WI 54501-9503

Mailing address

1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20071128000465 WI Practitioner - Nurse Practitioner 8325137318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
323833WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Feb 20, 2012 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Feb 20, 2012 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1932396959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CHIPPEWA DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019503",
            "telephone_number": "715-361-5480",
            "fax_number": "715-361-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CHIPPEWA DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019503",
            "telephone_number": "715-361-5480",
            "fax_number": "715-361-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOCK HJELLE",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "APNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "323833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.