JACQUELINE M HEISTERKAMP PA-C - NPI 1689345050 - Physician Assistant in Sioux Falls, SD

Q: What is Jacqueline Heisterkamp's NPI number?

The NPI number for Jacqueline Heisterkamp is 1689345050. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Q: What is Jacqueline Heisterkamp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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About Jacqueline M Heisterkamp Pa-c NPPES

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

JACQUELINE M HEISTERKAMP PA-C (NPI 1689345050) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (1408) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Vermillion.

NPPES Registry Identity

NPI1689345050

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE M HEISTERKAMPCredential: PA-C

Location Address1500 W 22ND ST STE 101Sioux Falls, SD 57105-1503

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 328-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 24, 2021

Last NPPES UpdateDecember 4, 20255 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1689345050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SD · 1408

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 W 22ND ST STE 101, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 1414 East Clark St, Julian Hall Room 120Vermillion, SD 57069 · Phone (605) 658-5926

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford 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

Jacqueline M Heisterkamp Pa-c 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 ID2365891330

PECOS Enrollment IDI20231215002117

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.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 5

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

BILL LIU M.D.

Plastic Surgery