Individual provider Active NPI

Heidi Holling, FNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1972052843
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201608018NP-PP Issued in OR
Practice address
4010 Aerial Way
Family Medicine
Eugene, OR 97402-9757
Phone
(541) 687-6353
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201608018NP-PP OR Primary

Addresses

Primary practice location

4010 Aerial Way
Family Medicine
Eugene, OR 97402-9757

Mailing address

4010 Aerial Way
Family Medicine
Eugene, OR 97402-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20220107001534 MN Practitioner - Nurse Practitioner 9032497870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

916 Saint Peter Ave E
Delano, MN 55328-2813
Phone (952) 442-7800

Hospital & facility affiliations

  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8498MNMDDentist
201608018NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Medical Center Current Accepting new patients
Sibley Medical Center CurrentSince Jan 1, 2022 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 1, 2022 Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

560 S Maple St
Ste 30
Waconia, MN 55387
Phone (952) 442-6525

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1972052843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 AERIAL WAY",
            "address_2": "FAMILY MEDICINE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 AERIAL WAY",
            "address_2": "FAMILY MEDICINE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029757",
            "telephone_number": "541-687-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLING",
        "first_name": "HEIDI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201608018NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.