Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Bailey

Individual provider Family Nurse Practitioner · NPI 1114643756

Heidi Bailey is a Nurse Practitioner in Beaver Dam, Wisconsin. Qualified in 2022, 4 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022

Practice location Address checks out

130 Corporate Dr
Beaver Dam, WI 53916-3116
Phone: (920) 887-3102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13234-33 (WI)

Record details

NPI number1114643756
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address130 Corporate Dr, Beaver Dam, WI 53916-3116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Beaver Dam