Active NPI
Jean Ann Heisler, M.D.
- Family Medicine Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2558
- Practice address
- 1115 E 20TH St
Sioux Falls, SD 57105-1013 - Phone
- (605) 339-1783
- Fax
- (605) 367-7157
- NPI assigned
- Oct 20, 2006
- Last updated
- Dec 19, 2008
- 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 | 2558 | SD | Primary |
Addresses
Primary practice location
1115 E 20TH St
Sioux Falls, SD 57105-1013
Mailing address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone (605) 339-1783
Other names 1
- Jean Ann Eller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945
PO Box
Suite 400
Rosebud, SD 57570
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.52 of 100
- Quality
- 68.64
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 86.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Indian Health Service | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| Center for Family Medicine | Family Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Past | Accepting new patients |
Locations
521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029
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.
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
dba Falls Community Health
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1932295888
-
dba FCH School Based Health Services/Hayward
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1508103243
-
dba FCH School Based Health Services/Hawthorne
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1609025907
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rosebud, SD
- NPI 1427419282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1972686467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 E 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051013",
"telephone_number": "605-339-1783",
"fax_number": "605-367-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051013",
"telephone_number": "605-339-1783",
"fax_number": "605-367-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISLER",
"first_name": "JEAN",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "2558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "ELLER",
"middle_name": "ANN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.