Individual provider Active NPI

Jason Ferrand Heflin

  • Family Nurse Practitioner
  • Galena, KS
National Provider Identifier
1043829815
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5380515082 Issued in KS
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220112000525 KS Practitioner - Nurse Practitioner 7719379361 Reassigns benefits to 2 organizations
I20220303001126 OK Practitioner - Nurse Practitioner 7719379361 Reassigns benefits to 2 organizations
I20220303001216 MO Practitioner - Nurse Practitioner 7719379361 Reassigns benefits to 2 organizations

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 LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

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

LicenseStateTypeSpecialty
123252KSMDRegistered Nurse
5380515082KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Dec 20, 2021 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Dec 20, 2021 Accepting new patients
Signify Health, LLC CurrentSince May 12, 2022 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jul 17, 2023 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.