Susan Diane Ott Heasley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-45046 Issued in KS

Practice address

103 N Main St
Cheney, KS 67025-8844

Phone

(620) 259-6221

Fax

(316) 540-6193

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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 2

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hutchinson Clinic PA IncGroup PAC ID 5597658492, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Traditions Health Home health agency, Wichita, KS, CCN 178072
• Kingman Healthcare Center Hospital, Kingman, KS, CCN 171378
• Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheasley211147@directb.mercy.net
• Direct secure messaging: susanheasley@hcpa.allscriptsdirect.net

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.

• Hutchinson Clinic, P.a., Inc.

  • Internal Medicine Physician
  • Hutchinson, KS
  • NPI 1043298474

  Internal Medicine, KS

  Medicare reassignment Care Compare group NPD
• Hutchinson Clinic, P.a. Inc.

  • Rural Health Clinic/Center
  • Hutchinson, KS
  • NPI 1902871940
  Care Compare group NPD
• Hutchinson Clinic, P.a., Inc.

  • Ambulatory Surgical Clinic/Center
  • Hutchinson, KS
  • NPI 1386619682
  Care Compare group NPD
• Hutchinson Clinic, P.a., Inc.

  • Clinical Medical Laboratory
  • Hutchinson, KS
  • NPI 1962477356
  Care Compare group NPD
• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657

  MO

  Medicare reassignment
• Hutchinson Clinic P a Inc

  • Community/Retail Pharmacy
  • Hutchinson, KS
  • NPI 1013982305
  Care Compare group
• Hutchinson Clinic, P.a., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hutchinson, KS
  • NPI 1386619310
  Care Compare group
• Hutchinson Clinic, P.a., Inc.

  • Rural Health Clinic/Center
  • South Hutchinson, KS
  • NPI 1841530946
  Care Compare group
• Hutchinson Clinic, PA, Inc.

  • Rural Health Clinic/Center
  • Hutchinson, KS
  • NPI 1285926493
  Care Compare group
• Hutchinson Clinic, PA, Inc.

  • Health Educator
  • Hutchinson, KS
  • NPI 1821639774
  NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Hollister, MO
  • NPI 1053350454

  Family Medicine

  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital St Teresa Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1023334950

  Hospital

  Care Compare affiliation
• Ninnescah Valley Health Systems, Inc.

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1285629956

  Hospital

  Care Compare affiliation
• Serenity Home Health

  • Home Health Agency
  • Wichita, KS
  • NPI 1235147463
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1336360254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500",
            "fax_number": "316-540-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "CHENEY",
            "state": "KS",
            "postal_code": "670258844",
            "telephone_number": "620-259-6221",
            "fax_number": "316-540-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT HEASLEY",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011020340",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "6554",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-45046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336360254",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00985977",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susanheasley@hcpa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Hutchinson Clinic, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "103 N Main St",
            "city": "Cheney",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670258844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Hague I, DC
• Holistic Healing LLC
• Kimberly Kay Keller, RN
• Kingman Drug Inc
• Kara Linn Ostgren, DMD
• Amy Sue Panek, APRN
• Cora Petz
• John M Roberts, DDS
• Seth Sanders
• Special Care Services, Inc.

• All providers in Cheney, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
• 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.

Verify at the official NPI Registry.