Individual provider Active NPI

Peggy Janson Heuser, APRN

  • Family Health Clinical Nurse Specialist
  • Louisville, KY
National Provider Identifier
1053784017
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
3009578 Issued in KY
Practice address
2040 Metal LN
Louisville, KY 40206-1094
Phone
(502) 893-7833
Fax
(502) 895-4418
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 3009578 KY Primary

Addresses

Primary practice location

2040 Metal LN
Louisville, KY 40206-1094

Mailing address

2040 Metal LN
Louisville, KY 40206-1094
Phone (502) 893-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160406000545 KY Practitioner - Nurse Practitioner 3173820263 Reassigns benefits to 1 organization
I20260612002641 IN Practitioner - Nurse Practitioner 3173820263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heuser Health and Fitness Center LLCGroup PAC ID 5496052573, 2 clinicians

Practice addresses (Care Compare)

1860 Mellwood Ave
Suite 197
Louisville, KY 40206-1033
Phone (502) 893-7833

424 E Court Ave
Suite B
Jeffersonville, IN 47130-3414
Phone (502) 893-7833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heuser Health & Fitness Center, LLC Family Health CurrentSince Feb 18, 2016 Accepting new patients

Locations

424 E Court Ave
Ste B
Jeffersonville, IN 47130

1860 Mellwood Ave
Ste 197
Louisville, KY 40206
Phone (502) 893-7833

2040 Metal Ln
Louisville, KY 40206
Phone (502) 245-1136

1860 Mellwood Ave
#197
Louisville, KY 40206
Phone (502) 893-7833

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1053784017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 METAL LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061094",
            "telephone_number": "502-893-7833",
            "fax_number": "502-895-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 METAL LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061094",
            "telephone_number": "502-893-7833",
            "fax_number": "502-895-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSER",
        "first_name": "PEGGY",
        "middle_name": "JANSON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "KY",
            "license": "3009578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.