Active NPI
Hilde Jerius, MD
- Vascular Surgery Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD442906
- Practice address
- 252 S 4TH St FL 2
Lebanon, PA 17042-6111 - Phone
- (717) 270-3751
- Fax
- (717) 270-3754
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39560 | KY | |
| Vascular Surgery Physician | 2086S0129X | 39560 | KY | |
| Vascular Surgery Physician | 2086S0129X | MD442906 | PA | Primary |
Addresses
Primary practice location
252 S 4TH St FL 2
Lebanon, PA 17042-6111
Mailing address
200 Clinic Dr
Madisonville, KY 42431-1661
Other practice location 1
800 Hospital Dr
Madisonville, KY 42431-1658
Phone (270) 326-3800
Other practice location 2
911 Bypass Rd
Pikeville, KY 41501-1689
Phone (606) 218-2939
Other practice location 3
700 S Park St Ste A
Madison, WI 53715-1830
Phone (608) 260-2900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255437240 | Medicaid | WI | |
| 39560 | Other | KY | LICENSE |
| 64100571 | Medicaid | KY | |
| 000000371200 | Other | BCBS PROVIDER NUMBER |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhilde394665@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39560 | KY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Surgery | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Surgery | Past | Accepting new patients |
| Community Medical Care, Inc | Surgery | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
700 S Park St
Ste A
Madison, WI 53715
Phone (608) 260-2900
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- jhilde394665@direct-ehr-ssmhc.com
- hilde.jerius@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 9
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.
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-
- Clinic/Center
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- NPI 1093221434
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1427085679
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1558230847
-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1255437240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 S 4TH ST FL 2",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426111",
"telephone_number": "717-270-3751",
"fax_number": "717-270-3754"
}
],
"practiceLocations": [
{
"address_1": "800 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424311658",
"country_code": "US",
"telephone_number": "270-326-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "911 Bypass Rd",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415011689",
"country_code": "US",
"telephone_number": "606-218-2939",
"fax_number": "606-218-1657",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St Ste A",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-260-2900",
"fax_number": "608-260-2961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JERIUS",
"first_name": "HILDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2022-11-17",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "39560",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KY",
"license": "39560",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD442906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255437240",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "39560",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64100571",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000371200",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhilde394665@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jhilde394665@direct-ehr-ssmhc.com",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.