Active NPI
Julie A. Heyrman, M.D.
- Family Medicine Physician
- Fond Du Lac, WI
National Provider Identifier
1578509196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 41673
- Practice address
- 180 Knights Way
Fond Du Lac, WI 54935-8027 - Phone
- (920) 922-5433
- NPI assigned
- Jun 21, 2006
- Last updated
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41673 | WI | Primary |
Addresses
Primary practice location
180 Knights Way
Fond Du Lac, WI 54935-8027
Mailing address
180 Knights Way
Fond Du Lac, WI 54935-8027
Phone (920) 922-5433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34052400 | Medicaid | WI | |
| P00460099 | Other | WI | RR MEDICARE |
Other names 1
- Julie A. Heyrman-Compernolle
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jheyrman126@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare SC | Family Medicine | Past | Accepting new patients |
| Fox Valley Wellness Center/Midwest Hyperbarics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Fond Du Lac, WI
- NPI 1821376419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1578509196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 KNIGHTS WAY",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549358027",
"telephone_number": "920-922-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 KNIGHTS WAY",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549358027",
"telephone_number": "920-922-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYRMAN",
"first_name": "JULIE",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "41673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34052400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00460099",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jheyrman126@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "N112W17975 Mequon Rd",
"city": "Germantown",
"state": "WI",
"country_code": "US",
"postal_code": "530222425",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "N112W17975 Mequon Rd",
"city": "Germantown",
"state": "WI",
"country_code": "US",
"postal_code": "530222425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIE",
"last_name": "HEYRMAN-COMPERNOLLE",
"middle_name": "A.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.