Individual provider Active NPI

Hannes Heppner, PHD

  • Clinical Neuropsychologist
  • Madison, WI
National Provider Identifier
1760328108
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
5540-57 Issued in WI
Practice address
1221 John Q Hammons Dr Ste 101
Madison, WI 53717-2911
Phone
(608) 260-6000
Fax
(608) 260-2961
NPI assigned
Apr 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 5540-57 WI Primary

Addresses

Primary practice location

1221 John Q Hammons Dr Ste 101
Madison, WI 53717-2911

Mailing address

700 S Park St Ste a
Madison, WI 53715-1830
Phone (608) 260-6000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5540-57WIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1760328108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PARK ST STE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 JOHN Q HAMMONS DR STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172911",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPNER",
        "first_name": "HANNES",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "5540-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.