KATIE LYNNE HEGDAHL (APRN CNP) – Adult Health Nurse Practitioner, NPI 1649676487

KATIE LYNNE HEGDAHL (APRN CNP) is a healthcare provider. based in Saint cloud, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN CNP. They hold a License No. AG1014104 (MN). The NPI Number for KATIE LYNNE HEGDAHL (APRN CNP) is 1649676487

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATIE LYNNE HEGDAHL (APRN CNP)
NPI
1649676487
Phone
(320) 252-3342
Address
1200 6TH AVE N
Enumeration Date
5 November 2014
Last Update Date
18 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1355660002
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20150501001057
Address ID
MN563031901ST1406XNOXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KATIE LYNNE HEGDAHL (APRN CNP)

  • 1200 6TH AVE N

    SAINT CLOUD, MN 563032735

    Phone: (320) 252-3342

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($42).

Total Amount

$104

General + Research + Ownership

Payments

4

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

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: 2015-05-01

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
I20150501001057INurse PractitionerMNTBD

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 56303)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

How is KATIE LYNNE HEGDAHL (APRN CNP) identified in CMS data?
CMS-hosted NPPES data lists KATIE LYNNE HEGDAHL (APRN CNP) with NPI 1649676487.
Is KATIE LYNNE HEGDAHL (APRN CNP) still practicing?
KATIE LYNNE HEGDAHL (APRN CNP) is currently listed as active in the public NPI registry.
What healthcare role does KATIE LYNNE HEGDAHL (APRN CNP) hold?
Scheduling teams often label KATIE LYNNE HEGDAHL (APRN CNP) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KATIE LYNNE HEGDAHL (APRN CNP) based?
KATIE LYNNE HEGDAHL (APRN CNP) is tied to Saint Cloud, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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