Individual provider Active NPI

Courtnee Renee Heyduk, MD

  • Psychiatry Physician
  • Sioux Falls, SD
National Provider Identifier
1568967446
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2208 Issued in MN
Practice address
1400 W 22ND St
Sioux Falls, SD 57105-1554
Phone
(605) 322-5737
NPI assigned
Mar 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 2208 MN Primary

Addresses

Primary practice location

1400 W 22ND St
Sioux Falls, SD 57105-1554

Mailing address

1704 Main Ave S
Brookings, SD 57006-3835
Phone (605) 690-9242

Other practice location 1

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, IA, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200506003387 ND Practitioner - Psychiatry 7315294964 Reassigns benefits to 1 organization
I20230817001553 IA Practitioner - Psychiatry 7315294964 Reassigns benefits to 1 organization
I20230817002141 NE Practitioner - Psychiatry 7315294964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Sanford School of Medicine of University of South Dakota, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, shared by 26 NPIs, 137 clinicians

Practice addresses (Care Compare)

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
PSJ Acquisition LLC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Alegent Creighton Health CurrentSince Aug 1, 2023 Accepting new patients
Alegent Creighton Health Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
PSJ Acquisition LLC CurrentSince Mar 1, 2020 Accepting new patients
Avera Marshall Current Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

801 Harmony St
Ste 302
Council Bluffs, IA 51503
Phone (712) 328-2609

2771 Solution Ctr
Chicago, IL 60677

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

510 4th St S
Fargo, ND 58103
Phone (701) 476-7200

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1568967446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MAIN AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063835",
            "telephone_number": "605-690-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051554",
            "telephone_number": "605-322-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Bruce St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581934",
            "country_code": "US",
            "telephone_number": "507-532-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYDUK",
        "first_name": "COURTNEE",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.