Heather Ann Wilcke, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-1342A Issued in ID

Practice address

1007 W Orchard Ave
Nampa, ID 83651-1878

Phone

(208) 461-2838

Fax

(208) 461-5099

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather Ann Johnson Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Horizons Inc

  dba All Seasons Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1285767574
  Medicare reassignment
• Ricardo Ramirezs Counseling PLLC

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1134882913
  NPD
• All Horizons, Inc.

  dba All Seasons Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1265565477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1215362785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048616",
            "telephone_number": "208-361-0634",
            "fax_number": "208-321-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W ORCHARD AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511878",
            "telephone_number": "208-461-2838",
            "fax_number": "208-461-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6933 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048616",
            "country_code": "US",
            "telephone_number": "208-321-0634",
            "fax_number": "208-321-1082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCKE",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1342A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "credential": "NA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whole Life Midwifery and Birth Center
• Ralene Wiberg, MD
• Amaisha Wiebe, M.S. CCC-SLP
• Ladonna Wiedenman, BS
• Joseph Gregory Wilbanks, MD
• Megan Peterson Wilde, DDS
• Kenneth Wilhelm Jr.
• Alan Williams, PT
• Alba Rosa Williams
• Eric Roy Williams, DPT

• Nurse Practitioner in Nampa, ID
• Providers in Nampa, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.