Active NPI
Jason Ferrand Heflin
- Family Nurse Practitioner
- Galena, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5380515082
- Practice address
- 444 Four States Dr Ste 1
Galena, KS 66739-4325 - Phone
- (620) 783-4441
- NPI assigned
- Jul 28, 2020
- Last updated
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5380515082 | KS | Primary |
| Registered Nurse | 163W00000X | 123252 | KS |
Addresses
Primary practice location
444 Four States Dr Ste 1
Galena, KS 66739-4325
Mailing address
444 Four States Dr Ste 1
Galena, KS 66739-4325
Phone (620) 783-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, OK, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
1121 Neo Loop
Mercy Clinic Orthopedics Grove
Grove, OK 74344-6046
Phone (877) 783-4441
1717 S Range Line Rd B
Joplin, MO 64804-3224
444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123252 | KS | MD | Registered Nurse |
| 5380515082 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of Kansas LLC | Current | Accepting new patients |
Locations
220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545
403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762
444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767
1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441
10 S Treaty Rd
Miami, OK 74354
Phone (918) 238-2410
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Multi-Specialty Clinic/Center
- Wichita, KS
- NPI 1780261701
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
-
- Special Hospital
- Galena, KS
- NPI 1992341473
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
-
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1578013579
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1043829815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 FOUR STATES DR STE 1",
"city": "GALENA",
"state": "KS",
"postal_code": "667394325",
"telephone_number": "620-783-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 FOUR STATES DR STE 1",
"city": "GALENA",
"state": "KS",
"postal_code": "667394325",
"telephone_number": "620-783-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFLIN",
"first_name": "JASON",
"middle_name": "FERRAND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-28",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5380515082",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "123252",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.