HANNAH ELIZABETH HEIMDAL – Physician Assistant, NPI 1205450749

HANNAH ELIZABETH HEIMDAL is a healthcare provider. based in Mount prospect, Illinois. specializing in PHYSICIAN ASSISTANT. The NPI Number for HANNAH ELIZABETH HEIMDAL is 1205450749

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH ELIZABETH HEIMDAL
NPI
1205450749
Phone
Not provided
Address
606 S CAN DOTA AVE
Enumeration Date
1 June 2020
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
8473818899
Graduation Year
2021 (5 years ago)
PAC ID
1951706035
Group Practice PAC ID
1557366796
Professional Enrollment ID
I20210827001298
Address ID
IL600054423AR85XXXRDXX401

Contacts

FHIR Endpoint
https://select.nextech-api.com/api
Secure Messaging
hheimdal@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for HANNAH ELIZABETH HEIMDAL

  • 606 S CAN DOTA AVE

    MOUNT PROSPECT, IL 600563616

    Phone:

    Type: Mailing

  • 606 S Can Dota Ave

    Mount Prospect, IL 600563616

    Phone: (847) 404-0693

    Type: Location

  • 1600 N RANDALL RD STE 400

    ELGIN, IL 601237805

    Phone:

    Type: Mailing

  • 85 W ALGONQUIN RD STE 220

    ARLINGTON HEIGHTS, IL 600054423

    Phone: (847) 381-8899

    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: 2021-08-27

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
I20210827001298IPhysician AssistantILTBD

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
17003Destruction of precancer skin growth, 2-14 growths619128$0
11102Biopsy of related skin growth, first growth297265$0
99213Established patient office or other outpatient visit, 20-29 minutes272235$0
17000Destruction of precancer skin growth, 1 growth241181$0
17110Destruction of skin growth, 1-14 growths152127$0
View full utilization report →

Insurance plans in this area (ZIP 60056)

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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: 1557366796View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL
Physician AssistantFL
Physician AssistantIL
Physician AssistantIL
Nurse PractitionerIL
D E R M A T O L O G YIL
Physician AssistantIL

Reviews

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Frequently asked questions

What NPI should I save for HANNAH ELIZABETH HEIMDAL?
Save NPI 1205450749 if you need a stable reference for HANNAH ELIZABETH HEIMDAL.
Is HANNAH ELIZABETH HEIMDAL active in the national directory?
HANNAH ELIZABETH HEIMDAL's public NPI profile is in an active state.
What field does HANNAH ELIZABETH HEIMDAL work in?
You can think of HANNAH ELIZABETH HEIMDAL as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place HANNAH ELIZABETH HEIMDAL?
The snapshot lists Mount Prospect, Illinois for HANNAH ELIZABETH HEIMDAL; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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