Individual provider Active NPI

Dano K Heatwole, CRNP

  • Family Nurse Practitioner
  • Staunton, VA
National Provider Identifier
1235589078
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179429 Issued in VA
Practice address
1209 Richmond Ave
Staunton, VA 24401-5069
Phone
(540) 885-0629
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179429 VA Primary
Nurse Practitioner 363L00000X RN620495 PA
Nurse Practitioner 363L00000X SP016257 PA
Family Nurse Practitioner 363LF0000X SP016257 PA

Addresses

Primary practice location

1209 Richmond Ave
Staunton, VA 24401-5069

Mailing address

1209 Richmond Ave
Staunton, VA 24401-5069
Phone (540) 885-0629

Other identifiers 2

IdentifierTypeStateIssuer
R620495OtherPALICENSE
103226775MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dheatwole64376@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20200729000264 VA Practitioner - Nurse Practitioner 9335437037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

1209 Richmond Ave
Suite 109
Staunton, VA 24401-5069
Phone (540) 885-0629

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN620495PAMDNurse Practitioner
0024179429VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Urgent Care LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

1209 Richmond Ave
Staunton, VA 24401
Phone (540) 885-0629

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1235589078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 RICHMOND AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015069",
            "telephone_number": "540-885-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 RICHMOND AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015069",
            "telephone_number": "540-885-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATWOLE",
        "first_name": "DANO",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179429",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN620495",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016257",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R620495",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103226775",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dheatwole64376@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "361 Alexander Spring Rd",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170156940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.