MS. HEIDI LEIGH BOLGREN (PA-C) – Athletic Trainer, NPI 1215972872

MS. HEIDI LEIGH BOLGREN (PA-C) is a healthcare provider. based in Bloomington, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10537 (MN). The NPI Number for MS. HEIDI LEIGH BOLGREN (PA-C) is 1215972872

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. HEIDI LEIGH BOLGREN (PA-C)
NPI
1215972872
Phone
(952) 512-5600
Address
3500 AMERICAN BLVD W STE 300
Enumeration Date
18 June 2006
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524567000
Graduation Year
2009 (17 years ago)
PAC ID
5496812836
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20090330000325
Address ID
MN554351706ED4010XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for MS. HEIDI LEIGH BOLGREN (PA-C)

  • 3500 AMERICAN BLVD W STE 300

    BLOOMINGTON, MN 554314442

    Phone: (952) 512-5600

    Type: Mailing

  • 4010 W 65TH ST

    EDINA, MN 554351706

    Phone: (952) 456-7000

    Fax: (952) 456-7001

    Type: Location

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SUITE 900

    ST LOUIS PARK, MN 554261728

    Phone: (952) 512-5600

    Fax: (952) 512-5651

    Type: Mailing

  • West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55439, United States

    SUITE 100

    EDINA, MN 554352528

    Phone: (952) 920-0970

    Fax: (952) 920-0148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $537.

Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Stryker Corporation ($217).

Total Amount

$537

General + Research + Ownership

Payments

8

Total payment records

General Amount

$537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2009-03-30

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
I20090330000325IPhysician AssistantMNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg45638$0
73562X-ray of knee, 3 views139107$0
20610Aspiration and/or injection of fluid from large joint11759$0
99213Established patient office or other outpatient visit, 20-29 minutes9086$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose7216$0
View full utilization report →

Insurance plans in this area (ZIP 55431)

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Provider's Procedures

MS. HEIDI LEIGH BOLGREN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN20610Aspiration and/or injection of large joint or joint capsule8849
PHYSICIAN ASSISTANTMN27447Repair of knee joint3635
PHYSICIAN ASSISTANTMN73562X-ray of knee, 3 views7162

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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Does MS. HEIDI LEIGH BOLGREN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. HEIDI LEIGH BOLGREN (PA-C) uses 1215972872.
Does CMS list MS. HEIDI LEIGH BOLGREN (PA-C) as active?
Yes — MS. HEIDI LEIGH BOLGREN (PA-C) is active in the NPI listing used on this page.
What is MS. HEIDI LEIGH BOLGREN (PA-C) best known for clinically?
Directory data describes MS. HEIDI LEIGH BOLGREN (PA-C) with Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where should I expect MS. HEIDI LEIGH BOLGREN (PA-C) on a map?
Expect Bloomington, Minnesota as a primary anchor for MS. HEIDI LEIGH BOLGREN (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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