KYRIE HEYDENBURG PA
NPI 1144995697
Physician Assistant - Surgical in Lansing, MI

Q: What is Kyrie Heydenburg's NPI number?

The NPI number for Kyrie Heydenburg is 1144995697. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Q: What is Kyrie Heydenburg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kyrie Heydenburg was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment

85/100

CMS Quality Rating

1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-2616(517) 364-3525 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Oct 1, 2021, Aug 16, 2021 (3 updates tracked since 2021).

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About Kyrie Heydenburg Pa NPPES

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

KYRIE HEYDENBURG PA (NPI 1144995697) is an individual surgical provider in Lansing, Michigan, licensed in Michigan (5601012432) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144995697

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKYRIE HEYDENBURGCredential: PA

Location Address1215 E MICHIGAN AVELansing, MI 48912-1811

Mailing AddressPo Box 13008Lansing, MI 48901-3008

Phone(517) 364-2616

Fax(517) 364-3525

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 16, 2021

Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1144995697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in MI · 5601012432✔ Licensed in CA · 60068

Also ListedPhysician AssistantTaxonomy 363A00000X · License 60068 (CA)

1215 E MICHIGAN AVE, Lansing, MI 48912

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 443-2682 · Fax (559) 443-2681

Location 21200 E Michigan Ave Ste 655Lansing, MI 48912-1837 · Phone (517) 364-2616 · Fax (517) 364-3525

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, Priority Health.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

Kyrie Heydenburg Pa 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 ID5991103004

PECOS Enrollment IDI20241211000215

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

51 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.33

Promoting Interoperability

100

Improvement Activities

Cost

45.02

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.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology