Gina L Heberlie
MIDWEST HEALTH GROUP, LLC


Address: 555 W Pine St, Farmington, MO 63640-1439
Phone: 5734741510

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140242 CENTRAL DUPAGE HOSPITAL
261302 MADISON MEDICAL CENTER

Other Locations

Address Phone Organization
555 W Pine St, Farmington, MO 63640-1439 5734741510 MIDWEST HEALTH GROUP, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name MIDWEST HEALTH GROUP, LLC
Physicians 6

Physicians with the same organization

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

Office Location

Street Address 555 W PINE ST
City FARMINGTON
State MO
Zip 63640-1439

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City FARMINGTON
Zip Code 63640
Specialty NURSE PRACTITIONER
City + Specialty FARMINGTON + NURSE PRACTITIONER

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Dataset Information

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.

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