DR. JAMES FREEMAN HEISE M.D.
NPI 1316934060
Internal Medicine in Sturgeon Bay, WI

Q: What is James Heise's NPI number?

The NPI number for James Heise is 1316934060. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is James Heise's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Heise was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment

323 S 18TH AVE, STURGEON BAY, WI 54235(920) 743-5566(920) 743-5526 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2026, Apr 3, 2025, Jan 9, 2023 and 2 more (5 updates tracked since 2021).

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About Dr. James Freeman Heise M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES FREEMAN HEISE M.D. (NPI 1316934060) is an individual internal medicine provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (46570-020) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Door County Medical Center, and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1316934060

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES FREEMAN HEISECredential: M.D.

Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401

Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 746-3680

Phone(920) 743-5566

Fax(920) 743-5526

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2002

Enumeration DateSeptember 27, 2005

Last NPPES UpdateMarch 10, 20265 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1316934060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 46570-020

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 46570-20 (WI)

323 S 18TH AVE, Sturgeon Bay, WI 54235

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Other Identifiers 1

Other46570WI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Freeman Heise M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294783940

PECOS Enrollment IDI20050110000299

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$21.37 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers20 claims20 services$8.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$114.35 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$32.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA J SKINNER RN, IBCLC

Registered Nurse (Lactation Consultant)