Gina L Heberlie (NPI# 1316053028, PAC ID# 0547174633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316053028 |
| PAC ID by PECOS | 0547174633 |
| Professional Enrollment ID | I20031113000393 |
| Full Name | Gina L Heberlie |
| Organization Legal Name | MIDWEST HEALTH GROUP, LLC |
| Address |
555 W Pine St Farmington MO 63640-1439 |
| Phone Number | 5734741510 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214021385 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 261302 | MADISON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 555 W Pine St, Farmington, MO 63640-1439 | 5734741510 | MIDWEST HEALTH GROUP, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | MIDWEST HEALTH GROUP, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nedra G Harrington | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Julie M Koppeis Mctearnen | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Lisa L Mengwasser | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Christina A Rariden | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Diane M Radosevich | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Street Address |
555 W PINE ST |
| City | FARMINGTON |
| State | MO |
| Zip | 63640-1439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin L Gipson | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Michelle L Ramirez | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Nedra G Harrington | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Julie M Koppeis Mctearnen | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Lisa L Mengwasser | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Christina A Rariden | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Diane M Radosevich | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Long | Chiropractic | 307 E E Karsch Blvd, Farmington, MO 63640-1203 | |
| Abraham Ray Renaud | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Adam P Overcast | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Kathryn S Wiles | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Paula S Alvarez | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Christopher John Donze | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Bonnie L Hartrup | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Steven Wade | Qualified Audiologist | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Glen A Mohan | Nurse Practitioner | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Justin W Roberts | Otolaryngology | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Find all physicians in zip 63640 | |||
| City | FARMINGTON |
| Zip Code | 63640 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FARMINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gina L Heberlie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.