Individual provider Active NPI

Heather Ann Kidder, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1972956142
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704259506 Issued in MI
Practice address
181 Emmett St W
Battle Creek, MI 49037-2963
Phone
(269) 965-8866
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704259506 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704259506 MI Primary

Addresses

Primary practice location

181 Emmett St W
Battle Creek, MI 49037-2963

Mailing address

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (269) 965-8866

Other practice location 1

1640 Haslett Rd Ste 100
Haslett, MI 48840-8607
Phone (517) 898-8541

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
I20160818000321 MI Practitioner - Nurse Practitioner 7517252323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Health IncGroup PAC ID 1052229226, 29 clinicians

Practice addresses (Care Compare)

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (616) 965-8866

181 W Emmett St
Battle Creek, MI 49037-2963

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704259506MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physicians Network of Michigan Psychiatric/Mental Health CurrentSince Dec 10, 2021 Accepting new patients
Kalamazoo TC Operator LLC CurrentSince Jul 1, 2025 Accepting new patients
Mahabir LPC PLLC Past Accepting new patients

Locations

1430 Alamo Ave
Kalamazoo, MI 49006
Phone (269) 349-2661

101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022

572 S Odessa Ave
Egg Harbor City, NJ 08215

Interoperability endpoints

  • Direct secure messaging: heather.kidder.p1@direct.gracehealthmi.nextgenshare.com

Organizations & group practices 4

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 1

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1972956142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-965-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-965-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Haslett Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Haslett",
            "state": "MI",
            "postal_code": "488408607",
            "country_code": "US",
            "telephone_number": "517-898-8541",
            "fax_number": "305-517-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704259506",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704259506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.