HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) – Lactation Consultant (Registered Nurse), NPI 1962743179

HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) is a healthcare provider. based in Negaunee, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC, IBCLC. They hold a License No. 4704225043 (MI). The NPI Number for HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) is 1962743179

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC)
NPI
1962743179
Phone
(906) 475-0057
Address
215 E CASE ST
Enumeration Date
13 March 2013
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6162262500
Graduation Year
2024 (2 years ago)
PAC ID
2365982006
Group Practice PAC ID
7315856077
Professional Enrollment ID
I20240910000525
Address ID
MI490839418RI8450XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC)

  • 215 E CASE ST

    NEGAUNEE, MI 498661736

    Phone: (906) 475-0057

    Type: Mailing

  • 8450 N 32ND ST

    RICHLAND, MI 490839418

    Phone: (269) 552-2500

    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: 2024-09-10

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
I20240910000525INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49866)

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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: 7315856077View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
-MI
-IN
Gastroenterology, Internal MedicineMI
Nurse PractitionerMI
N E U R O L O G YMI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMI
Family PracticeMI
N E U R O L O G YGA

Reviews

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Frequently asked questions

Can I cross-check HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) using NPI 1962743179?
NPI 1962743179 belongs to HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC); compare other details if you need extra assurance.
Is HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) still an active registrant?
HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) carries an active NPI according to the public dataset.
What clinical focus is listed for HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC)?
At a glance, HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) is tied to Lactation Consultant (Registered Nurse). Clinical services aligned with this taxonomy classification.
Where in Michigan is HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) registered?
Use Negaunee, Michigan as the headline location for HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) here.
When was this NPI issued?
Enumeration for HEATHER A PRUSI-WILSON (MSN, FNP-BC, IBCLC) is noted as March 13, 2013 where the registry provides it.

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