Heather L Chestelson, DPM
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Viroqua, WI
NPI 1710175997 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1710175997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- 964 (WI)
- Practice address
- 407 S Main St
Viroqua, WI 54665-2100 - Phone
- (608) 637-3195
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gundersen Clinic LTD
Practice addresses (Care Compare)
1600 Main St
Onalaska, WI 54650-2838
Phone (608) 783-4681
407 S Main St
Viroqua, WI 54665-2100
Phone (608) 637-3195
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
610 E Taylor St
PR Du Chien, WI 53821-2109
Phone (608) 326-6466
705 Arena Dr
Viroqua, WI 54665-2059
Phone (608) 637-4362
Hospital & facility affiliations
- Gundersen Boscobel Area Hospital and Clinics
- Vernon Memorial Hospital
- Gundersen Lutheran Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 98 |
| Removal or shaving of skin growth | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090807000496 | WI | Practitioner - Podiatry | 8426101445 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005341 | IL | MD | Podiatrist |
| 964-025 | WI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Health Services, Inc. | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current |
Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Gundersen Clinic LTD | Current |
Accepting new patients | |
| Vernon Memorial Healthcare, Inc. | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Past | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients | |
| Gundersen Clinic, LTD. | Past | Accepting new patients |
Locations
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466
407 S Main St
Viroqua, WI 54665
Phone (608) 637-3195
407 S Main St
Ste 200
Viroqua, WI 54665
Phone (608) 637-3195
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
Interoperability endpoints
- hchestelson25207@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005341 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 964-025 | WI | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 964 | WI | Yes |
Addresses
Primary practice location
407 S Main St
Viroqua, WI 54665-2100
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710175997 | Medicaid | WI |
Other providers in Viroqua, WI
- Jenny Lee Cain
- Laura Carol Cavanaugh
- Center Point Counseling Services Cooperative
- Center Point Counseling Services Emhs
- Lydia S. Charaf
- Carla Margaret Christ
- Elise Taylor Christensen
- Rebecca Kay Clason
- Tricia Ann Clements
- Megan Allyssa Coe
All providers in Viroqua, WI · Primary Podiatric Medicine Podiatrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.