NPIMap

Individual provider Active NPI

Will R Eidsness, M.D.

  • Diagnostic Radiology Physician
  • Yankton, SD
National Provider Identifier
1093912636
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RL0428 Issued in SD
Practice address
1104 W 8TH St
Yankton, SD 57078-3306
Phone
(605) 665-7841
NPI assigned
Jun 28, 2007
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X RL0428 SD Primary

Addresses

Primary practice location

1104 W 8TH St
Yankton, SD 57078-3306

Mailing address

1104 W 8TH St
Yankton, SD 57078-3306
Phone (605) 665-7841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address will.eidsness@direct.yanktonmedicalclinic.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070915000236 SD Practitioner - Diagnostic Radiology 1254425630 Reassigns benefits to 2 organizations
I20210211002193 NE Practitioner - Diagnostic Radiology 1254425630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Sanford School of Medicine of University of South Dakota, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yankton Medical Clinic PCGroup PAC ID 1850208778, 59 clinicians
Sacred Heart Health ServicesGroup PAC ID 6103729066, shared by 17 NPIs, 151 clinicians

Practice addresses (Care Compare)

1104 W 8TH St
Yankton, SD 57078-3306
Phone (605) 665-7841

3901 W Norfolk Ave
Suite C
Norfolk, NE 68701-9218
Phone (402) 844-8110

3901 W Norfolk Ave
Yankton Medical Clinic Avera
Norfolk, NE 68701-4405
Phone (605) 655-7841

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RL0428SDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yankton Medical Clinic PC Current Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Sacred Heart Health Services CurrentSince Jan 1, 2026 Accepting new patients
Sacred Heart Health Services CurrentSince Jan 1, 2026 Accepting new patients
Sacred Heart Health Services CurrentSince Jan 1, 2026 Accepting new patients
Fountain Point Imaging Center LLC CurrentSince Oct 28, 2021 Accepting new patients
Yankton Medical Clinic PC Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
Yankton Medical Clinic PC CurrentSince Jul 1, 2007 Accepting new patients

Locations

3901 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 379-5555

3901 W Norfolk Ave
Ste C
Norfolk, NE 68701
Phone (402) 316-4606

3901 W Norfolk Ave
Ste R
Norfolk, NE 68701
Phone (402) 379-2349

704 N 3rd St
Plainview, NE 68769
Phone (402) 582-3434

1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: will.eidsness.p2@direct.yanktonmedicalclinic.nextgenshare.com
  • Direct secure messaging: will.eidsness@direct.yanktonmedicalclinic.nextgenshare.com

Organizations & group practices 10

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 6

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1093912636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 8TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783306",
            "telephone_number": "605-665-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W 8TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783306",
            "telephone_number": "605-665-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDSNESS",
        "first_name": "WILL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "RL0428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "will.eidsness@direct.yanktonmedicalclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1104 W 8th St",
            "city": "Yankton",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570783306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.