Individual ProviderMary K HeimmermannNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address411 Lincoln St, Network House Calls, Neenah, WI 54956-2753(920) 886-0818PECOS EnrollmentBased on the most recent information from CMS, provider Mary K Heimmermann does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578795407Provider TypeIndividualFull NameHeimmermann, Mary KCredentialAPNPGenderFemaleSole ProprietorNoEnumeration Date8/11/2009Last Updated10/18/2012Contact InformationPractice LocationPractice Address411 Lincoln St, Network House Calls, Neenah, WI 54956-2753Phone(920) 886-0818Fax(920) 427-1310Mailing LocationMailing Address411 Lincoln St, Network House Calls, Neenah, WI 54956-2753Phone(920) 886-0818Fax(920) 427-1310Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3841-033WisconsinProvider IdentifiersIDDescriptionIssuerID100005319DescriptionMedicaidIssuerUnlistedWisconsin