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GUADALUPE NIETO HEDRICK M.D.
NPI 1164417093
Pediatrics in Healdsburg, CA

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
445 MARCH AVE, SUITE A, HEALDSBURG, CA 95448(707) 433-8223(707) 431-1071 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2021, Feb 1, 2021, Oct 6, 2020 (3 updates tracked since 2020).

About Guadalupe Nieto Hedrick M.d. NPPES

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

GUADALUPE NIETO HEDRICK M.D. (NPI 1164417093) is an individual pediatrics provider in Healdsburg, California, licensed in Indiana (01066640A) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1987).

NPPES Registry Identity

NPI1164417093
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGUADALUPE NIETO HEDRICKCredential: M.D.
Location Address445 MARCH AVE, SUITE AHealdsburg, CA 95448-3383
Mailing AddressPo Box 898Windsor, CA 95492-0898 · (707) 236-2266
Phone(707) 433-8223
Fax(707) 431-1071
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1987
Enumeration DateSeptember 16, 2005
Last NPPES UpdateNovember 3, 20213 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1164417093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01066640A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
445 MARCH AVE, Healdsburg, CA 95448
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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

Guadalupe Nieto Hedrick M.d. 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 ID3678610383
PECOS Enrollment IDI20140408001011
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.

Medicare Billing Reassignment

Medicare enrollment records show Guadalupe Hedrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
16 mi
Internal Medicine
500 DOYLE PARK DR, SUITE 303
Santa Rosa, CA 95405
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1740584473 (707) 303-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95448 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
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 3

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

WILL J BROGDON DDS
Dentist
445 MARCH AVE, #C
HEALDSBURG, CA 95448
Sonoma County (707) 433-2090
DAMIAN MARSDEN MD
Pediatrics
445 MARCH AVE
HEALDSBURG, CA 95448
Sonoma County (707) 433-8223
DR. RONALD D. SIEGEMUND M.D.
Pediatrics
445 MARCH AVE, SUITE A
HEALDSBURG, CA 95448
Sonoma County (707) 433-8223

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 Guadalupe Hedrick's NPI number?

The NPI number for Guadalupe Hedrick is 1164417093. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Guadalupe Hedrick located?

Guadalupe Hedrick practices at 445 March Ave Suite A, Healdsburg, CA 95448. The listed phone number is (707) 433-8223.

What is Guadalupe Hedrick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Guadalupe Hedrick enrolled in Medicare?

Yes. Guadalupe Hedrick 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 Guadalupe Hedrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guadalupe Hedrick reassigns Medicare benefits to Providence Medical Foundation (Santa Rosa, CA). 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 Guadalupe Hedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Guadalupe Hedrick was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.