HEIDI L HODGINS
NPI 1497092225
Nurse Practitioner in Oshkosh, WI
About Heidi L Hodgins NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI L HODGINS (NPI 1497092225) is an individual nurse practitioner in Oshkosh, Wisconsin, licensed in Wisconsin (9564) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 3
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 L Hodgins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Heidi Hodgins reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prairie Du Chien, WI 53821
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Adams, WI 53910
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Fox Point, WI 53217
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54904 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OSHKOSH, WI 54904
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 Hodgins's NPI number?
The NPI number for Heidi Hodgins is 1497092225. It was assigned to this individual provider in the NPPES registry on January 14, 2013.
Where is Heidi Hodgins located?
Heidi Hodgins practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.
What is Heidi Hodgins's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Heidi Hodgins enrolled in Medicare?
Yes. Heidi Hodgins is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Heidi Hodgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Hodgins reassigns Medicare benefits to 5 organizations: Gundersen Clinic, Ltd. (Prairie Du Chien, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Wausau Hospital, Inc. (Stevens Point, WI), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI) and Gundersen Lutheran Medical Center Inc (Fox Point, 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 Hodgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heidi Hodgins accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Network Health and Quartz and 1 other insurer list Heidi Hodgins 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 Hodgins was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Heidi L Hodgins · NPI 1497092225
Nurse Practitioner physician in Oshkosh, Wisconsin. Individual provider, active in the CMS NPPES registry since January 14, 2013.
## Identity
- **NPI:** 1497092225 (Entity type: Individual)
- **Enumerated:** January 14, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 9564 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 855 N WESTHAVEN DR, Oshkosh, WI 54904-7668
- **Phone:** (920) 303-8700 · **Fax:** (920) 456-7601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic, Ltd. (NPI 1023064078, Prairie Du Chien, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Aspirus Wausau Hospital, Inc. (NPI 1275886749, Stevens Point, WI); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1114411287, Adams, WI); Gundersen Lutheran Medical Center Inc (NPI 1053090456, Fox Point, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2025
- **Other identifiers:** Medicaid ENROLLED (IA); Medicaid ENROLLED (MN); Medicaid 100093089 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1497092225) · Data from the CMS NPPES public registry.