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HEATHER LYNN FENNELL MD
NPI 1073076311
Surgery in Midland, MI

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
4201 CAMPUS RIDGE DR, MIDLAND, MI 48640(989) 837-9071(989) 488-5783 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Lynn Fennell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER LYNN FENNELL MD (NPI 1073076311) is an individual surgery provider in Midland, Michigan, licensed in Michigan (4301514883) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Clare, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1073076311
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameHEATHER LYNN FENNELLCredential: MD
Location Address4201 CAMPUS RIDGE DRMidland, MI 48640-6128
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (448) 321-9568 · Fax (989) 633-5241
Phone(989) 837-9071
Fax(989) 488-5783
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2019
Enumeration DateApril 12, 2019
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1073076311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301514883
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4201 CAMPUS RIDGE DR, Midland, MI 48640
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Other Names 1

Former Name (1)Healther Lynn Minton

Secondary Practice Location 1

Location 1833 Princeton Ave SWBirmingham, AL 35211-1323 · Phone (205) 783-3098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Lynn Fennell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648716563
PECOS Enrollment IDI20250905003293
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON AGNES LEVANDOWSKI MD
Internal Medicine (Hematology & Oncology)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-6188
DR. SANTIAGO FABIAN MOSCOSO MARTINEZ M.D.
Internal Medicine (Hematology & Oncology)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-6188
PAIGE HINGSTON PA
Physician Assistant
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-3060
KRISTIN M BUSCH MD
Colon & Rectal Surgery
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-1795
JENNIFER MARIE WOODS FNP
Nurse Practitioner
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-3000
MEGHAN DAHL
Social Worker (Clinical)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-3385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Fennell's NPI number?

The NPI number for Heather Fennell is 1073076311. It was assigned to this individual provider in the NPPES registry on April 12, 2019. The provider is also known as Healther Lynn Minton.

Where is Heather Fennell located?

Heather Fennell practices at 4201 Campus Ridge Dr, Midland, MI 48640. The listed phone number is (989) 837-9071.

What is Heather Fennell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Heather Fennell enrolled in Medicare?

Yes. Heather Fennell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Fennell accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Heather Fennell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Fennell affiliated with any hospitals?

According to CMS data, Heather Fennell is affiliated with Mymichigan Medical Center Clare and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Heather Fennell was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.