HEATHER M TRUDEAU (PA) – Physician Assistant, NPI 1790859858

HEATHER M TRUDEAU (PA) is a healthcare provider. based in East lansing, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601004905 (MI). The NPI Number for HEATHER M TRUDEAU (PA) is 1790859858

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER M TRUDEAU (PA)
NPI
1790859858
Phone
(517) 355-4205
Address
804 SERVICE RD STE A202
Enumeration Date
20 November 2006
Last Update Date
22 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5178844554
Graduation Year
2006 (20 years ago)
PAC ID
4284855867
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20141023001745
Address ID
MI488236804EA4660XRDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for HEATHER M TRUDEAU (PA)

  • 804 SERVICE RD STE A202

    EAST LANSING, MI 488247015

    Phone: (517) 355-4205

    Fax: (517) 355-4202

    Type: Mailing

  • 4660 S HAGADORN RD STE 600

    EAST LANSING, MI 488235383

    Phone: (517) 355-4205

    Fax: (517) 355-4202

    Type: Location

  • Charlevoix Street, Grand Ledge, Eaton County, Michigan, 48837, United States

    SUITE 100

    GRAND LEDGE, MI 488372223

    Phone: (517) 627-2181

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $342.

Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Medtronic, Inc. ($99).

Total Amount

$342

General + Research + Ownership

Payments

11

Total payment records

General Amount

$342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-23

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
I20141023001745IPhysician AssistantMITBD

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
51798Ultrasound measurement of bladder capacity after voiding7661$0
81003Automated urinalysis test7562$0
99213Established patient office or other outpatient visit, 20-29 minutes3732$0
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I verify HEATHER M TRUDEAU (PA) with an NPI only?
You can start verification with NPI 1790859858 for HEATHER M TRUDEAU (PA), then check state licensing separately.
Is HEATHER M TRUDEAU (PA) listed as active for patients and plans?
The listing shows HEATHER M TRUDEAU (PA) as active in the NPI system.
What is HEATHER M TRUDEAU (PA)'s specialty?
The listing groups HEATHER M TRUDEAU (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect HEATHER M TRUDEAU (PA) on a map?
Expect East Lansing, Michigan as a primary anchor for HEATHER M TRUDEAU (PA) unless the record lists multiple sites.
Is the information about HEATHER M TRUDEAU (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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