HEIDI FREYA QUEEN (M.D) – Emergency Medicine Physician, NPI 1467490789

HEIDI FREYA QUEEN (M.D) is a healthcare provider. based in Emeryville, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D. They hold a License No. A62115 (CA). The NPI Number for HEIDI FREYA QUEEN (M.D) is 1467490789

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI FREYA QUEEN (M.D)
NPI
1467490789
Phone
(415) 548-7901
Address
2100 POWELL STREET
Enumeration Date
2 June 2006
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4083786131
Graduation Year
1995 (31 years ago)
PAC ID
1658459979
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20080425000643
Address ID
CA950321438LO815XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for HEIDI FREYA QUEEN (M.D)

  • 2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States

    STE 920

    EMERYVILLE, CA 946081803

    Phone: (415) 548-7901

    Fax: (415) 718-0532

    Type: Mailing

  • 655 REDWOOD HWY FRONTAGE RD STE 200

    MILL VALLEY, CA 949413055

    Phone: (415) 548-7901

    Fax: (415) 718-0532

    Type: Location

  • Seton Medical Center, 1900, Sullivan Avenue, Daly City, San Mateo County, California, 94015, United States

    DALY CITY, CA 940152200

    Phone: (415) 992-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080425000643IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making193180$0
99284Emergency department visit with moderate level of medical decision making137134$0
99291Critical care, first 30-74 minutes5048$0
View full utilization report →

Insurance plans in this area (ZIP 94608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineCA
-DE
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineNY

Reviews

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Frequently asked questions

Does HEIDI FREYA QUEEN (M.D) have a public NPI I can cite?
Public records show HEIDI FREYA QUEEN (M.D) under NPI 1467490789.
Quick check: is HEIDI FREYA QUEEN (M.D) active?
Public NPPES data shows HEIDI FREYA QUEEN (M.D) with an active NPI status right now.
How should patients interpret HEIDI FREYA QUEEN (M.D)'s specialty?
The extract shows Emergency Medicine Physician for HEIDI FREYA QUEEN (M.D). Clinical services aligned with this taxonomy classification.
What city is tied to HEIDI FREYA QUEEN (M.D)?
The directory associates HEIDI FREYA QUEEN (M.D) with Emeryville, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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