NPIMap

Individual provider Active NPI

Heidi M Gehrke

  • Family Nurse Practitioner
  • Mitchell, SD
National Provider Identifier
1083991012
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000678 Issued in SD
Practice address
525 N Foster St
Mitchell, SD 57301-2966
Phone
(605) 995-2000
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 17

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care Inc 156 clinicians

Practice addresses (Care Compare)

1900 Grassland Dr
Suite 103
Mitchell, SD 57301-6386
Phone (605) 995-7000

Hospital & facility affiliations

  • Avera @ Home Home health agency, Mitchell, SD, CCN 437041
  • Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20111129000566 SD Practitioner - Nurse Practitioner 3779757810 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP000678SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Feb 9, 2017 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Avera Queen of Peace CurrentSince Feb 9, 2017 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

Interoperability endpoints

  • Direct secure messaging: heidi.gehrke.mitchell@avera.sdhealthlink.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000678 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

525 N Foster St
Mitchell, SD 57301-2966

Mailing address

525 N Foster St
Mitchell, SD 57301-2966

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2011.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1083991012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012966",
            "telephone_number": "605-995-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRKE",
        "first_name": "HEIDI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.