Heidi Hassler, PA-C
Individual provider Active NPI Physician Assistant · Vermillion, SD
NPI 1548874688 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1548874688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1266 (SD)
- Practice address
- 20 S Plum St
Vermillion, SD 57069-3346 - Phone
- (605) 677-3500
- NPI assigned
- Sep 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SD, IA, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201208002040 | SD | Practitioner - Physician Assistant | 5799197174 | Reassigns benefits to 2 organizations |
| I20221028000997 | IA | Practitioner - Physician Assistant | 5799197174 | Reassigns benefits to 1 organization |
| I20240803000069 | NE | Practitioner - Physician Assistant | 5799197174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2548 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siouxland Community Health Center | Current |
Accepting new patients | |
| Sanford Health Network | Physician Assistant | Current |
Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients |
Locations
1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477
3410 Futures Dr
South Sioux City, NE 68776
Phone (402) 412-4271
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 1266 | SD | Yes |
Addresses
Primary practice location
20 S Plum St
Vermillion, SD 57069-3346
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Vermillion, SD
- Liane K Grayson
- Great Plains Therapy LLC
- Carrie Lyn Hanson
- Elizabeth Kay Hanson
- Amy L. Haselhorst
- Patrick L Hauer
- Hawkeye Exact SD 1 PLLC
- Lois Jean Hazen
- Steven J. Heirigs
- Kate Herrboldt
All providers in Vermillion, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.