Physician Compare National (NPI:1952792459)

HEALTHCARE PROVIDER: CALLIE HEILIG APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952792459
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537479282
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200529000694
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEILIG
	Individual professional last name
Provider First Name	CALLIE
	Individual professional first name
Provider Middle Name	ELIZABETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RURAL HEALTH GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9739090226
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	44
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	110 DIVISION ST
	Group Practice or individual's line 1 address
City	NORLINA
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	275639041
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2524562009
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST CATHERINE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	170175
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WESTERN PLAINS MEDICAL COMPLEX
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	340132
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MARIA PARHAM MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	171372
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SCOTT COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y