Dr. Heather M. Clouse
- Gender: Female
- Experience: 12 years
- Graduated from: Geisel School Of Medicine At Dartmouth
- Graduation year: 2009
- Sole propriator: No
- NPI: 1659513596
Dr. Heather M. Clouse MD
Family Physician
She is located at 1115 East 20th Street in Sioux Falls, SD 57105. Can help patients with the following: Abdominal Pain, Anxiety, Autism, Birth Control Counseling, Chronic Obstructive Pulmonary Disease (COPD), Prenatal Care. Her National Provider Identifier (NPI) number is 1659513596. Appointment can be made via the phone number (605) 399-1783. She is affiliated with 1 practices and 1 hospitals.
Conditions treated
Dr. Heather M. Clouse, being an family physician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Heather M. Clouse.
- Abdominal Pain
- Aging In Place
- Anxiety
- Arthritis
- Asthma
- Autism
- Birth Control Counseling
- Breastfeeding and Lactation
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Diabetes
- Fever
- General Care
- Headache
- Heart Disease
- High Blood Pressure
- Hyperlipidemia
- Hypothyroidism
- Infant Care
- Influenza
- Migraine
- Mold Exposure
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Pregnancy
- Prenatal Care
- Prescription Refill
- Thyroid Disease
- Women's Health
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Heather M. Clouse as in-network for the following 2026 plans.
Health plans
Avera Health Plans
Network data as of Jan 23, 2026, as reported by the insurer.
Show all 23 plans from Avera Health Plans
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| ConnectPlus $0 Gold (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus $0 Silver (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus $10,600 HSA Eligible HDHP (2 plan variants) | PPO · Catastrophic | Commercial | Accepting new patients |
| ConnectPlus $1800 (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus $4500 (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus $6500 HSA Eligible HDHP (2 plan variants) | PPO · Expanded Bronze | Commercial | Accepting new patients |
| ConnectPlus $7500 HSA Eligible HDHP (2 plan variants) | PPO · Expanded Bronze | Commercial | Accepting new patients |
| ConnectPlus MyWeighForward $2000 (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus MyWeighForward $6000 (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus Standard $2000 (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus Standard $6000 (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus Standard $7500 HSA Eligible HDHP (2 plan variants) | PPO · Expanded Bronze | Commercial | Accepting new patients |
| DirectConnect $0 Gold | HMO · Gold | Direct | Accepting new patients |
| DirectConnect $0 Silver | HMO · Silver | Direct | Accepting new patients |
| DirectConnect $1800 | HMO · Gold | Direct | Accepting new patients |
| DirectConnect $4500 | HMO · Silver | Direct | Accepting new patients |
| DirectConnect $6500 HSA Eligible HDHP | HMO · Expanded Bronze | Direct | Accepting new patients |
| DirectConnect $7500 HSA Eligible HDHP | HMO · Expanded Bronze | Direct | Accepting new patients |
| DirectConnect MyWeighForward $2000 | HMO · Gold | Direct | Accepting new patients |
| DirectConnect MyWeighForward $6000 | HMO · Silver | Direct | Accepting new patients |
| DirectConnect Standard $2000 | HMO · Gold | Direct | Accepting new patients |
| DirectConnect Standard $6000 | HMO · Silver | Direct | Accepting new patients |
| DirectConnect Standard $7500 HSA Eligible HDHP | HMO · Expanded Bronze | Direct | Accepting new patients |
Sanford Health Plan
Network data as of May 18, 2020, as reported by the insurer.
Show all 16 plans from Sanford Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Sanford Individual Simplicity $1,750 | PPO · Gold | Simplicity | Accepting new patients |
| Sanford Individual Simplicity $3,500 | PPO · Silver | Simplicity | Accepting new patients |
| Sanford Individual Simplicity $4,750 | PPO · Silver | Simplicity | Accepting new patients |
| Sanford Individual Simplicity $6,500 | PPO · Expanded Bronze | Simplicity | Accepting new patients |
| Sanford Individual Simplicity $7,200 HSA Qualified | PPO · Expanded Bronze | Simplicity | Accepting new patients |
| Sanford Individual Simplicity Standardized $2,000 | PPO · Gold | Simplicity | Accepting new patients |
| Sanford Individual Simplicity Standardized $6,000 | PPO · Silver | Simplicity | Accepting new patients |
| Sanford Individual Simplicity Standardized $7,500 | PPO · Expanded Bronze | Simplicity | Accepting new patients |
| Sanford Individual TRUE $1,750 | HMO · Gold | Shptrue | Accepting new patients |
| Sanford Individual TRUE $3,500 | HMO · Silver | Shptrue | Accepting new patients |
| Sanford Individual TRUE $4,750 | HMO · Silver | Shptrue | Accepting new patients |
| Sanford Individual TRUE $6,500 | HMO · Expanded Bronze | Shptrue | Accepting new patients |
| Sanford Individual TRUE $7,200 HSA Qualified | HMO · Expanded Bronze | Shptrue | Accepting new patients |
| Sanford Individual TRUE Standardized $2,000 | HMO · Gold | Shptrue | Accepting new patients |
| Sanford Individual TRUE Standardized $6,000 | HMO · Silver | Shptrue | Accepting new patients |
| Sanford Individual TRUE Standardized $7,500 | HMO · Expanded Bronze | Shptrue | Accepting new patients |
Wellmark of South Dakota, Inc.
Network data as of Sep 8, 2026, as reported by the insurer.
Show all 7 plans from Wellmark of South Dakota, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellmark Bronze HDHP EPO HSA Qualified (2 plan variants) | EPO · Expanded Bronze | Bluerx Essentials | Accepting new patients |
| Wellmark Bronze Traditional EPO (2 plan variants) | EPO · Expanded Bronze | Bluerx Essentials | Accepting new patients |
| Wellmark Gold Traditional EPO (2 plan variants) | EPO · Gold | Bluerx Essentials | Accepting new patients |
| Wellmark Silver Traditional EPO (2 plan variants) | EPO · Silver | Bluerx Essentials | Accepting new patients |
| Wellmark Standard Bronze EPO (2 plan variants) | EPO · Expanded Bronze | Bluerx Essentials | Accepting new patients |
| Wellmark Standard Gold EPO (2 plan variants) | EPO · Gold | Bluerx Essentials | Accepting new patients |
| Wellmark Standard Silver EPO (2 plan variants) | EPO · Silver | Bluerx Essentials | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Heather M. Clouse is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Heather M. Clouse is enrolled to bill Medicare as a Practitioner - Family Practice .
Bills through: Center For Family Medicine
Based on Medicare's public enrollment records as of Sep 29, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Studies
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated in 2009Additional Specialities
- Resident
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- Address: 2701 S. Kiwanis Ave. Sioux Falls, 57105, SD
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- Address: Suite 2 1200 South 7th Avenue Sioux Falls, 57105, SD
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- Address: STE2 1200 South 7th Avenue Sioux Falls, 57105, SD
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- Address: 1115 East 20th Street Sioux Falls, 57105, SD
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Questions & Answers
Does Dr. Heather M. Clouse accept insurance?
Dr. Heather M. Clouse is listed in-network for 46 ACA Marketplace (Obamacare/HealthCare.gov) plans from Avera Health Plans, Sanford Health Plan, Wellmark of South Dakota, Inc.. See the Marketplace plans section for details.
What conditions does Dr. Heather M. Clouse treat?
Dr. Heather M. Clouse provides treatment for Abdominal Pain, Anxiety, Autism, Birth Control Counseling, Chronic Obstructive Pulmonary Disease (COPD), Prenatal Care. For the full list see this list.
Does Dr. Heather M. Clouse have affiliation with practices?
Dr. Heather M. Clouse is affiliated with Center for Family Medicine.
Where can you meet with Dr. Heather M. Clouse?
Dr. Heather M. Clouse's office is located at 1115 East 20th Street in Sioux Falls, SD 57105.
Has Dr. Heather M. Clouse affiliation with hospitals?
Dr. Heather M. Clouse is affiliated with AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER.