HEATHER BODURTHA
NPI 1679774673
Psychologist - Clinical in New Brighton, MN
About Heather Bodurtha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER BODURTHA (NPI 1679774673) is an individual clinical provider in New Brighton, Minnesota, licensed in Minnesota (LP4705) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Heather Bodurtha 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Bodurtha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
- 133 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 55112 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.
NEW BRIGHTON, MN 55112
NEW BRIGHTON, MN 55112
NEW BRIGHTON, MN 55112
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 Bodurtha's NPI number?
The NPI number for Heather Bodurtha is 1679774673. It was assigned to this individual provider in the NPPES registry on May 29, 2007.
Where is Heather Bodurtha located?
Heather Bodurtha practices at 1900 Silver Lake Rd NW 110, New Brighton, MN 55112. The listed phone number is (651) 628-9566.
What is Heather Bodurtha's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Heather Bodurtha enrolled in Medicare?
Yes. Heather Bodurtha 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 organizations bill Medicare for Heather Bodurtha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Bodurtha reassigns Medicare benefits to 2 organizations: Nystrom & Associates, Ltd (New Brighton, MN) and Nystrom & Associates Counseling Wi., S.C. (La Crosse, 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 Heather Bodurtha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Bodurtha accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Security Health Plan list Heather Bodurtha 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 Heather Bodurtha was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Heather Bodurtha · NPI 1679774673
Clinical provider in New Brighton, Minnesota. Individual provider, active in the CMS NPPES registry since May 29, 2007.
## Identity
- **NPI:** 1679774673 (Entity type: Individual)
- **Enumerated:** May 29, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP4705 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 SILVER LAKE RD NW, 110, New Brighton, MN 55112-1786
- **Phone:** (651) 628-9566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN); Nystrom & Associates Counseling Wi., S.C. (NPI 1659977866, La Crosse, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 10, 2012
- **Other identifiers:** Medicare OSCAR/certification 680002302 (MN); Medicaid 652660100 (MN); Medicare OSCAR/certification 680002301 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1679774673) · Data from the CMS NPPES public registry.