HEATHER KIRKHAM
NPI 1093275471
Student in an Organized Health Care Education/Training Program in St Louis Park, MN

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 993-3123 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2025, Mar 22, 2019 (2 updates tracked since 2019).

About Heather Kirkham NPPES

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

HEATHER KIRKHAM (NPI 1093275471) is an individual student in an organized health care education/training program in St Louis Park, Minnesota and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2019).

NPPES Registry Identity

NPI1093275471
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHEATHER KIRKHAM
Location Address3931 LOUISIANA AVE SSt Louis Park, MN 55426-5000
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
NPI 1093275471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 79284 (MN)
3931 LOUISIANA AVE S, St Louis Park, MN 55426

Accepted 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 Kirkham 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 ID1557877024
PECOS Enrollment IDI20250722001195
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 3

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240187
Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County
Emergency services Birthing friendly

Olivia Hospital & Clinic

Critical Access Hospitals · Olivia, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241306
Location100 Healthy WayOlivia, MN 56277 · Renville County
Emergency services

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

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 Kirkham's NPI number?

The NPI number for Heather Kirkham is 1093275471. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Heather Kirkham located?

Heather Kirkham practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-3123.

What is Heather Kirkham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Heather Kirkham enrolled in Medicare?

Yes. Heather Kirkham 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 Kirkham accept?

Health plans from Medica list Heather Kirkham 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 Kirkham affiliated with any hospitals?

According to CMS data, Heather Kirkham is affiliated with Park Nicollet Methodist Hospital, Hutchinson Health and Olivia Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Heather Kirkham was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.