Active NPI
Jon P Heiderscheit, MD
- Family Medicine Physician
- Onalaska, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38012
- Practice address
- 191 Theatre Rd
Onalaska, WI 54650-8679 - Phone
- (608) 392-5001
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 98-01668 | NC | |
| Family Medicine Physician | 207Q00000X | 38012 | WI | Primary |
Addresses
Primary practice location
191 Theatre Rd
Onalaska, WI 54650-8679
Mailing address
200 1St St SW
Rochester, MN 55905-0002
Phone (608) 785-0940
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jheiderscheit6161@ehrdirect.mayoclinicmsg.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Theater Rd
Onalaska, WI 54650-8679
Phone (608) 392-5000
800 E Blackhawk Ave
Prairie Du Chien, WI 53821-1698
Phone (608) 326-0808
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-01668 | NC | MD | Family Medicine Physician |
| 38012 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
524 N Elm St
La Crescent, MN 55947
Phone (507) 895-5660
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
191 Theater Rd
Onalaska, WI 54650
Phone (608) 392-5000
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Organizations & group practices 2
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.
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Healthcare - La Crosse
- General Acute Care Hospital
- La Crosse, WI
- NPI 1801874227
-
dba Franciscan Healthcare - Sparta
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
-
dba Mayo Clinic Health System - Arcadia
- Rural Health Clinic/Center
- Arcadia, WI
- NPI 1972091361
Hospital
-
dba Aveanna Home Health
- Home Health Agency
- Madison, WI
- NPI 1568469070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1467536524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050002",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 THEATRE RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508679",
"telephone_number": "608-392-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDERSCHEIT",
"first_name": "JON",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "98-01668",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "38012",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jheiderscheit6161@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "191 Theatre Rd",
"city": "Onalaska",
"state": "WI",
"country_code": "US",
"postal_code": "546508679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.