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DR. MARY ELLEN HEEZEN M.D.
NPI 1982687422
Pediatrics in Bloomington, MN

Active since November 29, 2005PECOS Enrolled
5320 HYLAND GREENS DR, BLOOMINGTON, MN 55437(952) 993-2555 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mary Ellen Heezen M.d. NPPES

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

DR. MARY ELLEN HEEZEN M.D. (NPI 1982687422) is an individual pediatrics provider in Bloomington, Minnesota, licensed in Minnesota (30616) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982687422
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY ELLEN HEEZENCredential: M.D.
Location Address5320 HYLAND GREENS DRBloomington, MN 55437-3934
Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728
Phone(952) 993-2555
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1982687422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 30616
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.
5320 HYLAND GREENS DR, Bloomington, MN 55437
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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 (PECOS)

Dr. Mary Ellen Heezen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mary Ellen Heezen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health Care
10 mi
Pediatric Cardiology
2525 CHICAGO AVENUE SOUTH
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 551 clinicians in this Medicare group
NPI 1841738952 (612) 813-6000

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 55437 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

SAVANNAH NELLES MD
Family Medicine
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
CHRISTINE ANN MORLEY MD
Family Medicine
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
MARY E HANSON PNP
Nurse Practitioner (Pediatrics)
5320 HYLAND GREENS DR
MINNEAPOLIS, MN 55437
Hennepin County (952) 993-2555
RACHAEL GARVELINK
Nurse Practitioner
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
YASMIN JEANNE KHAN MD
Pediatrics
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
KELSEY LYNN CULHANE CNP
Nurse Practitioner
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
KELLEE OTT
Obstetrics & Gynecology
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2460
ASHLEY GILLAND N.P.
Nurse Practitioner
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400

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 Mary Ellen Heezen's NPI number?

The NPI number for Mary Ellen Heezen is 1982687422. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Mary Ellen Heezen located?

Mary Ellen Heezen practices at 5320 Hyland Greens Dr, Bloomington, MN 55437. The listed phone number is (952) 993-2555.

What is Mary Ellen Heezen's specialty?

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

Is Mary Ellen Heezen enrolled in Medicare?

Yes. Mary Ellen Heezen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Ellen Heezen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ellen Heezen reassigns Medicare benefits to Children's Health Care (Minneapolis, MN). 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 Mary Ellen Heezen'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 Mary Ellen Heezen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.