Justin David Heser, M.D.
Individual provider Active NPI Anesthesiology Physician · Sheboygan, WI
NPI 1083971576 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1083971576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 74085-20 (WI)
- Practice address
- 3400 Union Ave
Sheboygan, WI 53081-8426 - Phone
- (920) 802-2100
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 28
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Minnesota Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Aurora Medical Group, Inc.
Practice addresses (Care Compare)
109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3990
3400 Union Ave
Sheboygan, WI 53081-8426
Phone (920) 828-2530
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555
Hospital & facility affiliations
- St Lukes Hospital
- Aurora Medical Center Sheboygan County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200518000594 | MN | Practitioner - Anesthesiology | 3870734742 | Reassigns benefits to 3 organizations |
| I20201123001047 | WI | Practitioner - Anesthesiology | 3870734742 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74085-20 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Anesthesiology | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
Interoperability endpoints
- justin.heser@slk.direct.slhduluth.com
- him@slk.direct.slhduluth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 74085-20 | WI | Yes |
Addresses
Primary practice location
3400 Union Ave
Sheboygan, WI 53081-8426
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083971576 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Sheboygan, WI
- Suzanne S Herold
- Abby Herrmann
- Herslof'S, Inc
- Elizabeth Andrea Hertel
- Pamela Kay Hertel
- George L Hess
- George L Hess III
- Brianna Rae Martha Hettenhaus
- Megan Lindsay Hetzner
- Benjamin Thomas Heuser
All providers in Sheboygan, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.