Active NPI
Heather Elizabeth Chappell, DNP
- Family Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704325294
- Practice address
- 80 68TH St SE
Grand Rapids, MI 49548-6980 - Phone
- (616) 391-8242
- NPI assigned
- Mar 20, 2006
- 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 Nurse Practitioner | 363LF0000X | 4704325294 | MI | Primary |
Addresses
Primary practice location
80 68TH St SE
Grand Rapids, MI 49548-6980
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other names 1
- Heather Elizabeth Krull
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hkrull171290@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927003607 | MI | Practitioner - Nurse Practitioner | 1850349481 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Spectrum Health Primary Care Partners
Practice addresses (Care Compare)
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Medical Group of Fort Wayne, P.C. | Nurse Practitioner | Past | Accepting new patients |
| Lutheran Medical Group LLC | Nurse Practitioner | Past | Accepting new patients |
| Purdue University | Past | Accepting new patients |
Locations
9090 S Rodgers Ct SE
Ste A
Caledonia, MI 49316
Phone (616) 891-0422
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4069 Lake Dr SE
Grand Rapids, MI 49546
Phone (616) 267-7469
4075 32nd Ave
Hudsonville, MI 49426
Phone (616) 229-9310
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220
5500 Clyde Park Ave SW
Wyoming, MI 49509
Phone (616) 530-7110
Interoperability endpoints
- hkrull171290@epic00.shdirect.org
- hchappell171290@epic00.corewelldirect.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
MI
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1811956337
Nurse Practitioner
-
- Clinic/Center
- Fort Wayne, IN
- NPI 1679917710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1023077005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486980",
"telephone_number": "616-391-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "HEATHER",
"middle_name": "ELIZABETH",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704325294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hkrull171290@epic00.shdirect.org",
"affiliation": "N",
"address_1": "80 68th St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495486980",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "80 68th St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495486980",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "KRULL",
"middle_name": "ELIZABETH",
"credential": "DNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.