DR. KIMBERLY A HEGEWALD MD
NPI 1851379770
Pediatrics in Traverse City, MI
About Dr. Kimberly A Hegewald Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY A HEGEWALD MD (NPI 1851379770) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (4301075523) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Dr. Kimberly A Hegewald Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Hegewald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 7 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 49684 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Hegewald's NPI number?
The NPI number for Kimberly Hegewald is 1851379770. It was assigned to this individual provider in the NPPES registry on January 3, 2006.
Where is Kimberly Hegewald located?
Kimberly Hegewald practices at 3537 W Front St Ste G, Traverse City, MI 49684. The listed phone number is (231) 935-8822.
What is Kimberly Hegewald's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kimberly Hegewald enrolled in Medicare?
Yes. Kimberly Hegewald is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Hegewald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hegewald reassigns Medicare benefits to Kids Creek Childrens Clinic PC (Traverse City, MI). 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 Kimberly Hegewald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Hegewald accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kimberly Hegewald 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 Kimberly Hegewald was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kimberly A Hegewald, MD · NPI 1851379770
Pediatrics physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since January 3, 2006.
## Identity
- **NPI:** 1851379770 (Entity type: Individual)
- **Enumerated:** January 3, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301075523 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3537 W FRONT ST STE G, Traverse City, MI 49684-7943
- **Phone:** (231) 935-8822
## 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:** Kids Creek Childrens Clinic PC (NPI 1649291832, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2020
- **Other identifiers:** Medicaid 4290606 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1851379770) · Data from the CMS NPPES public registry.