HEIKE WALLIN (FNP) – Nurse Practitioner, NPI 1841469004
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HEIKE WALLIN (FNP)
PO BOX 277381
ATLANTA, GA 303847381
Phone:
Type: Mailing
2680, Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047517
Phone: (208) 523-7667
Fax: (208) 523-7668
Type: Mailing
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
Phone: (208) 529-6111
Fax: (208) 529-7021
Type: Location
3017 EAGLE DR
AMMON, ID 834061273
Phone: (208) 607-3775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($97).
Total Amount
$146
General + Research + Ownership
Payments
3
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $97 |
| Celgene Corporation | $33 |
| ABBVIE INC. | $16 |
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: 2012-01-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120106000273 | I | Nurse Practitioner | ID | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Osteopathic Manipulative Medicine | WY | |
| Physical Medicine And Rehabilitation | ID | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | ID | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ID | |
| Nurse Practitioner | ID |
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