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MR. WILLIE STEPHAN VAN HEERDE M.D.
NPI 1982496212
Family Medicine in Jackson, MS

Active since May 21, 2025PECOS Enrolled
2500 N. STATE STREET, JACKSON, MS 39216(601) 674-1000 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, May 21, 2025 (2 updates tracked since 2025).

About Mr. Willie Stephan Van Heerde M.d. NPPES

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

MR. WILLIE STEPHAN VAN HEERDE M.D. (NPI 1982496212) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (T-5800) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982496212
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. WILLIE STEPHAN VAN HEERDECredential: M.D.
Location Address2500 N. STATE STREETJackson, MS 39216
Mailing Address1865 Lakeland Dr Apt 108Jackson, MS 39216-4960 · (681) 267-9708
Phone(601) 674-1000
Sole ProprietorNo
Enumeration DateMay 21, 2025
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1982496212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · T-5800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 N. STATE STREET, Jackson, MS 39216
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willie Stephan Van Heerde M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 15

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

DR. PRAVEEN KUMAR MD
Pediatrics (Neonatal-Perinatal Medicine)
2500 N. STATE STREET, UNIV OF MS MED CTR., NEWBORN MEDICINE
JACKSON, MS 39216
Hinds County (601) 815-7158
DR. EYAL RAFAEL YEFET M.D.
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
SAKET DINESHKUMAR PRAJAPATI
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
MOHAMED GHONIM MD
Internal Medicine
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
TEJWANT SINGH GREWAL
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
LYDIA MICHELLE WALTERS FNP-C
Nurse Practitioner (Family)
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. VINAY PREMRAJH RUGNATH MD
Family Medicine
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-6800
GAURAV ANAND
Internal Medicine
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Van Heerde's NPI number?

The NPI number for Willie Van Heerde is 1982496212. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Willie Van Heerde located?

Willie Van Heerde practices at 2500 N. State Street, Jackson, MS 39216. The listed phone number is (601) 674-1000.

What is Willie Van Heerde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Willie Van Heerde enrolled in Medicare?

Yes. Willie Van Heerde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Willie Van Heerde was last updated on February 17, 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.