Active NPI
Heidi Stevermer, C.N.P.
- Nurse Practitioner
- Fairmont, MN
National Provider Identifier
1932517893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2180
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031 - Phone
- (507) 523-8100
- NPI assigned
- Jul 23, 2014
- Last updated
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2180 | MN | Primary |
| Nurse Practitioner | 363L00000X | R160617-3 | MN |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 523-8100
Other practice location 1
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 381-5288
Other practice location 2
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 523-8100
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective May 5, 2020 through May 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R160617-3 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Healthcare PLLC | Current | Accepting new patients | |
| Optimal Performance Specialists Clinics, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Winnebago, MN
- NPI 1053093344
-
- Chiropractor
- Blue Earth, MN
- NPI 1942459987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1932517893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-523-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "56031",
"telephone_number": "507-523-8100"
}
],
"practiceLocations": [
{
"address_1": "404 W Fountain St",
"address_purpose": "LOCATION",
"city": "Albert Lea",
"state": "MN",
"postal_code": "560072437",
"country_code": "US",
"telephone_number": "507-381-5288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Fairmont",
"state": "MN",
"postal_code": "56031",
"country_code": "US",
"telephone_number": "507-523-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVERMER",
"first_name": "HEIDI",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "2180",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R160617-3",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.