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Deactivated NPI 1164406914 Deactivated / Inactive NPI Female Practitioner

Rebecca Jean Heimark , PA-C

Physician Assistant • Brainerd, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Rebecca Heimark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2005
NPI Deactivation Date May 23, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Rebecca Heimark, PA-C was a registered Physician Assistant practicing in Brainerd, MN. Throughout an active medical career spanning 17 years, Rebecca Heimark provided care at the practice location at 2024 S 6TH ST until profile deactivation on 2022-05-23.

Historical Medicare Part B clinical services included established patient outpatient office visit, telehealth originating site facility fee. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2024 S 6th St

Brainerd, MN 564014529

Telephone 2188287182
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brainerd, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Brainerd, MN (4026 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 28 $293.00 $89.53
Q3014 Telehealth originating site facility fee
21 19 $50.00 $25.73

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9340

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003136839

Doctor of Osteopathic Medicine (D.O.)

Karli Dullum , APRN, CNP

Nurse Practitioner - Family

NPI 1013558881

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1023092996

Doctor of Medicine (M.D.)

NPI 1023845401

Doctor of Pharmacy (Pharm.D.)

Dr. Christa Eickhoff , MD

Internal Medicine - Infectious Disease

NPI 1033471743

Doctor of Medicine (M.D.)

Dr. Eric Fenstad , MD, MSC

Internal Medicine - Cardiovascular Disease

NPI 1043476732

Doctor of Medicine (M.D.), Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 23, 2022

Record deactivated on May 23, 2022

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 27, 2007

Registered at 2024 S 6TH ST, BRAINERD, MN 564014529 (Tel: 2188287182)

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Updated Business Mailing Address November 27, 2007

Registered at 2024 S 6TH ST, BRAINERD, MN 564014529 (Tel: 2188287182)

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Provider Name / Credentials Updated November 27, 2007

Recorded as REBECCA HEIMARK, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Physician Assistant (License #9340 in MN)

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Initial NPI Registration & Enumeration December 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164406914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2005
Last Update: November 27, 2007
Deactivation Date: May 23, 2022

Mailing Address

2024 S 6th St

Brainerd, MN 564014529

Phone: 2188287182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.