HEATHER LYNN FENNELL MD
NPI 1073076311
Surgery in Midland, MI
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Fennell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIMymichigan Medical Center Midland
Acute Care Hospitals · Midland, MIPhysician 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDLAND, MI 48640
MIDLAND, MI 48640
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.
Which organization bills Medicare for Heather Fennell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Fennell reassigns Medicare benefits to Mymichigan Medical Center Midland (Midland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Fennell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Fennell accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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 14 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.
# Heather Lynn Fennell, MD · NPI 1073076311
Surgery physician in Midland, Michigan. Individual provider, active in the CMS NPPES registry since April 12, 2019.
## Identity
- **NPI:** 1073076311 (Entity type: Individual)
- **Enumerated:** April 12, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301514883 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4201 CAMPUS RIDGE DR, Midland, MI 48640-6128
- **Phone:** (989) 837-9071 · **Fax:** (989) 488-5783
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mymichigan Medical Center Midland (NPI 1205889490, Midland, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1073076311) · Data from the CMS NPPES public registry.