DAVID HEIDELBERG (FNP-BC) – Family Nurse Practitioner, NPI 1891049755

DAVID HEIDELBERG (FNP-BC) is a healthcare provider. based in Lorain, Ohio. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-BC. They hold a License No. 14014 (OH). The NPI Number for DAVID HEIDELBERG (FNP-BC) is 1891049755

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID HEIDELBERG (FNP-BC)
NPI
1891049755
Phone
(440) 960-4000
Address
3700 KOLBE RD
Enumeration Date
30 October 2012
Last Update Date
30 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
4075302000
Graduation Year
2012 (14 years ago)
PAC ID
4183879323
Group Practice PAC ID
9133381809
Professional Enrollment ID
I20200601001816
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DAVID HEIDELBERG (FNP-BC)

  • 3700 KOLBE RD

    LORAIN, OH 440531611

    Phone: (440) 960-4000

    Type: Location

  • 5001 PINEVIEW DR

    VERMILION, OH 440891646

    Phone:

    Type: Mailing

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: 2020-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130219000496INurse PractitionerOHTBD
I20200601001816INurse PractitionerFLTBD

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
99284Emergency department visit with moderate level of medical decision making8686$0
99283Emergency department visit with low level of medical decision making3535$0
99285Emergency department visit with high level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 44053)

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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: 9133381809View full group profile

Reviews

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Frequently asked questions

What is DAVID HEIDELBERG (FNP-BC)'s NPI number?
DAVID HEIDELBERG (FNP-BC)'s NPI is 1891049755 — the number used across U.S. healthcare to identify this provider.
Would DAVID HEIDELBERG (FNP-BC) appear as active to a payer?
You can treat DAVID HEIDELBERG (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DAVID HEIDELBERG (FNP-BC)?
DAVID HEIDELBERG (FNP-BC) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is DAVID HEIDELBERG (FNP-BC) associated with Lorain?
Public fields place DAVID HEIDELBERG (FNP-BC) around Lorain, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DAVID HEIDELBERG (FNP-BC) is noted as October 30, 2012 where the registry provides it.

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