Active NPI
Anne Marie Heisserer, DC
- Chiropractor
- Cape Girardeau, MO
National Provider Identifier
1174502256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6563
- Practice address
- 3232 Independence St
Cape Girardeau, MO 63701-4904 - Phone
- (573) 332-1111
- Fax
- (573) 332-0042
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6563 | MO | Primary |
Addresses
Primary practice location
3232 Independence St
Cape Girardeau, MO 63701-4904
Mailing address
326 S Mount Auburn Rd Ste 103
Cape Girardeau, MO 63703-4907
Phone (573) 332-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755772704 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
326 S Mount Auburn Rd
Suite 103
Cape Girardeau, MO 63703-4907
Phone (573) 332-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6563 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne M. Heisserer, DC, LLC | Chiropractor | Current | Accepting new patients |
Locations
3232 Independence St
Cpe Girardeau, MO 63701
Phone (573) 332-1111
326 S Mount Auburn Rd
Ste 103
Cpe Girardeau, MO 63703
Phone (573) 332-1111
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.
-
- Chiropractor
- Cape Girardeau, MO
- NPI 1679611651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1174502256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 S MOUNT AUBURN RD STE 103",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034907",
"telephone_number": "573-332-1111",
"fax_number": "573-332-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 INDEPENDENCE ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014904",
"telephone_number": "573-332-1111",
"fax_number": "573-332-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISSERER",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "6563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755772704",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.