Individual provider Active NPI

Halsey Anne Heinselman, MD

  • Emergency Medicine Physician
  • Elkhart, IN
National Provider Identifier
1265753610
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01072978 Issued in IN
Practice address
600 East Blvd
Emergency Department
Elkhart, IN 46514-2483
Phone
(574) 523-3161
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.120029 OH
Student in an Organized Health Care Education/Training Program 390200000X OH
Emergency Medicine Physician 207P00000X 01072978 IN Primary

Addresses

Primary practice location

600 East Blvd
Emergency Department
Elkhart, IN 46514-2483

Mailing address

600 East Blvd
Emergency Department
Elkhart, IN 46514-2483
Phone (574) 523-3161

Other identifiers 2

IdentifierTypeStateIssuer
000000825936OtherINANTHEM
201183800MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, VA, KY, NC, SC6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20140618001315 OH Practitioner - Emergency Medicine 6901030113 Reassigns benefits to 10 organizations
I20150331000498 TN Practitioner - Emergency Medicine 6901030113 Reassigns benefits to 1 organization
I20151006001505 VA Practitioner - Emergency Medicine 6901030113 Reassigns benefits to 1 organization
I20160329002205 KY Practitioner - Emergency Medicine 6901030113 Reassigns benefits to 1 organization
I20180502001902 NC Practitioner - Emergency Medicine 6901030113 Reassigns benefits to 2 organizations
I20241016003094 SC Practitioner - Emergency Medicine 6901030113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Gastonia Physician Services PLLCGroup PAC ID 3870719602, 66 clinicians

Practice addresses (Care Compare)

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100Reported as group
Quality
84.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072978INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Apr 9, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Dec 25, 2024 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Steward Emergency Physicians Ohio Inc Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 13, 2014 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jan 16, 2015 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Nov 5, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Summa Emergency Associates Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Dec 25, 2024 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince May 7, 2019 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Nov 5, 2025 Accepting new patients
Mercy Health Youngstown LLC PastSince Jun 1, 2020 Accepting new patients
Elite Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1265753610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-523-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-523-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSELMAN",
        "first_name": "HALSEY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.120029",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01072978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000825936",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201183800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.