Individual provider Active NPI

Jalean Louise Heikenfeld, APRN

  • Nurse Practitioner
  • Greendale, IN
National Provider Identifier
1093084774
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005409A Issued in IN
Practice address
1640 Flossie Drive
Greendale, IN 47025
Phone
(859) 655-8910
Fax
(859) 655-8911
NPI assigned
Dec 23, 2011
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16224 OH
Nurse Practitioner 363L00000X 3008919 KY
Nurse Practitioner 363L00000X 71005409A IN Primary
Registered Nurse 163W00000X RN. 321130 OH

Addresses

Primary practice location

1640 Flossie Drive
Greendale, IN 47025

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 655-8910

Other identifiers 1

IdentifierTypeStateIssuer
7100321870MedicaidKY

Other names 1

  • Jalean Louise Studer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 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
I20141201001837 KY Practitioner - Nurse Practitioner 6507188661 Reassigns benefits to 1 organization
I20150701002660 IN Practitioner - Nurse Practitioner 6507188661 Reassigns benefits to 1 organization
I20170113001809 OH Practitioner - Nurse Practitioner 6507188661

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-8910

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (855) 277-4230

300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400

PO Box
Suite 635283
Cincinnati, OH 45263-5283

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN. 321130OHMDRegistered Nurse
3008919KYMDNurse Practitioner
16224OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Nurse Practitioner Current Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients

Locations

1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 344-5517

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: jheikenfeld169715@direct-prd.stelizabeth.com

Organizations & group practices 3

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 4

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": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1093084774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-655-8910",
            "fax_number": "859-655-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FLOSSIE DRIVE",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "47025",
            "telephone_number": "859-655-8910",
            "fax_number": "859-655-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKENFELD",
        "first_name": "JALEAN",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "16224",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008919",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005409A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 321130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100321870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JALEAN",
            "last_name": "STUDER",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greendale, IN

Sources for this page

Verify at the official NPI Registry.