HEIDI E ECKELBERG APNP
NPI 1427367184
Nurse Practitioner - Psychiatric/Mental Health in Kenosha, WI

Active since September 29, 2010PECOS Enrolled
4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2021, Feb 11, 2020 (2 updates tracked since 2020).

About Heidi E Eckelberg Apnp NPPES

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

HEIDI E ECKELBERG APNP (NPI 1427367184) is an individual psychiatric/mental health provider in Kenosha, Wisconsin, licensed in Wisconsin (4184) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kenosha, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1427367184
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEIDI E ECKELBERGCredential: APNP
Location Address4536 22ND AVEKenosha, WI 53140-5917
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2233
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 29, 2010
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1427367184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 4184
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4184 (WI)
4536 22ND AVE, Kenosha, WI 53140

Secondary Practice Location 1

Location 110400 75th StKenosha, WI 53142-7884 · Phone (262) 948-7030

Other Identifiers 1

Medicaid100012858WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi E Eckelberg Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163604927
PECOS Enrollment IDI20110315000919
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 Reassignments

2

Medicare enrollment records show Heidi Eckelberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4536 22ND AVE
Kenosha, WI 53140
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Dentist (Pediatric Dentistry)
4536 22ND AVE
KENOSHA, WI 53140
Dental Hygienist
4536 22ND AVE
KENOSHA, WI 53140
Dentist (General Practice)
4536 22ND AVE
KENOSHA, WI 53140
Psychologist (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Internal Medicine
4536 22ND AVE
KENOSHA, WI 53140
Social Worker (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Counselor (Professional)
4536 22ND AVE
KENOSHA, WI 53140
Clinic/Center (Federally Qualified Health Center (FQHC))
4536 22ND AVE
KENOSHA, WI 53140

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 Heidi Eckelberg's NPI number?

The NPI number for Heidi Eckelberg is 1427367184. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Heidi Eckelberg located?

Heidi Eckelberg practices at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 656-0044.

What is Heidi Eckelberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heidi Eckelberg enrolled in Medicare?

Yes. Heidi Eckelberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heidi Eckelberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Eckelberg reassigns Medicare benefits to 2 organizations: Kenosha Community Health Center, Inc. (Kenosha, WI) and Aurora Medical Group, Inc. (Milwaukee, WI). Each 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 Heidi Eckelberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Eckelberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health and 1 other insurer list Heidi Eckelberg 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.

When was this NPI record last updated?

The NPPES record for Heidi Eckelberg was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.