Individual provider Active NPI

Megan Jo Heyden, CNP

  • Family Nurse Practitioner
  • Gregory, SD
National Provider Identifier
1952956328
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001613 Issued in SD
Practice address
110 S Logan Ave Ste a
Gregory, SD 57533-1614
Phone
(605) 835-9611
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001613 SD Primary

Addresses

Primary practice location

110 S Logan Ave Ste a
Gregory, SD 57533-1614

Mailing address

110 S Logan Ave Ste a
Gregory, SD 57533-1614
Phone (605) 835-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191107000367 SD Practitioner - Nurse Practitioner 2365874682 Reassigns benefits to 2 organizations
I20210625000731 NE Practitioner - Nurse Practitioner 2365874682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-9611

400 Park Ave
Gregory, SD 57533-1302
Phone (605) 835-8394

405 Whittecar Ave
Gregory, SD 57533-1340
Phone (605) 835-9611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Mar 9, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2019 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2019 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

110 S Logan Ave
Ste A
Gregory, SD 57533
Phone (605) 835-8394

660 W 2nd St
Winner, SD 57580
Phone (605) 842-2443

Interoperability endpoints

  • Direct secure messaging: megan.heyden@avera.sdhealthlink.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1952956328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S LOGAN AVE STE A",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331614",
            "telephone_number": "605-835-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S LOGAN AVE STE A",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331614",
            "telephone_number": "605-835-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDEN",
        "first_name": "MEGAN",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gregory, SD

Sources for this page

Verify at the official NPI Registry.