Individual provider Active NPI

Heidi Fite, PA-C

  • Physician Assistant
  • Buckley, MI
National Provider Identifier
1942584941
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007246 Issued in MI
Practice address
11293 N M 37
Ste. a
Buckley, MI 49620-9593
Phone
(231) 269-4185
Fax
(231) 269-4461
NPI assigned
Oct 10, 2011
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6274 GA
Physician Assistant 363A00000X 5601007246 MI Primary

Addresses

Primary practice location

11293 N M 37
Ste. a
Buckley, MI 49620-9593

Mailing address

11293 N M 37
Ste. a
Buckley, MI 49620-9593
Phone (231) 269-4185

Other identifiers 2

IdentifierTypeStateIssuer
1343PAMedicaidSC
003121146AMedicaidGA

Other names 1

  • Heidi Szerlong Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hszerlong@nphc.ipatientcaredirect.com

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
I20150521000168 MI Practitioner - Physician Assistant 8820256118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6274GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory G North PHD PC PastSince Jan 15, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hszerlong@nphc.ipatientcaredirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1942584941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11293 N M 37",
            "address_2": "STE. A",
            "city": "BUCKLEY",
            "state": "MI",
            "postal_code": "496209593",
            "telephone_number": "231-269-4185",
            "fax_number": "231-269-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11293 N M 37",
            "address_2": "STE. A",
            "city": "BUCKLEY",
            "state": "MI",
            "postal_code": "496209593",
            "telephone_number": "231-269-4185",
            "fax_number": "231-269-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITE",
        "first_name": "HEIDI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6274",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1343PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121146A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hszerlong@nphc.ipatientcaredirect.com",
            "affiliation": "N",
            "address_1": "11293 N M 37",
            "address_2": "Ste. A",
            "city": "Buckley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496209593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SZERLONG",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buckley, MI

Sources for this page

Verify at the official NPI Registry.