Individual provider Active NPI

Patricia Sue Heinricy, DNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1477926558
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001006 Issued in SD
Practice address
2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone
(605) 322-1010
Fax
(605) 322-1011
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001006 SD Primary

Addresses

Primary practice location

2100 S Marion Rd
Sioux Falls, SD 57106-3646

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0998
Phone (605) 782-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160329001972 SD Practitioner - Nurse Practitioner 5698072122 Reassigns benefits to 1 organization
I20240805000034 NM Practitioner - Nurse Practitioner 4789981218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP001006SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deo Medical PC CurrentSince Jul 12, 2024 Accepting new patients
Avera McKennan CurrentSince Feb 15, 2016 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Feb 15, 2016 Accepting new patients
Avera McKennan Past Accepting new patients
Wapiti Medical Group Limited Company Family Past Accepting new patients

Locations

6001 Menaul Blvd NE
#1011
Albuquerque, NM 87110
Phone (617) 514-2362

2100 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 322-1010

4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980

1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

Interoperability endpoints

  • Direct secure messaging: patricia.heinricy@495248497180676.direct.elationemr.com
  • Direct secure messaging: patricia.heinricy@avera.sdhealthlink.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1477926558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050998",
            "telephone_number": "605-782-8305",
            "fax_number": "605-336-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S MARION RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063646",
            "telephone_number": "605-322-1010",
            "fax_number": "605-322-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICY",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.