Individual provider Active NPI

Heather Renee Lowry, NP-C

  • Family Nurse Practitioner
  • Port Byron, IL
National Provider Identifier
1285281139
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A156210 Issued in IA
Practice address
105 N Main St
Port Byron, IL 61275-7705
Phone
(309) 523-2015
Fax
(309) 523-9025
NPI assigned
Aug 23, 2019
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A156210 IA Primary

Addresses

Primary practice location

105 N Main St
Port Byron, IL 61275-7705

Mailing address

105 N Main St
Port Byron, IL 61275-7705
Phone (309) 523-2015

Other names 1

  • Heather Keyser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200205001368 IL Practitioner - Nurse Practitioner 5092141309 Reassigns benefits to 2 organizations
I20230323002034 IA Practitioner - Nurse Practitioner 5092141309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hammond Henry Dist HospitalGroup PAC ID 0143115949, 41 clinicians
Amana Medical Care IncGroup PAC ID 8224340567, 4 clinicians

Practice addresses (Care Compare)

203 W Front St
Annawan, IL 61234-7756
Phone (309) 935-4100

2162 W Kimberly Rd
Davenport, IA 52806-5368
Phone (563) 388-7000

600 N College Ave
Geneseo, IL 61254-1007

600 N College Ave
Suite 120
Geneseo, IL 61254-1092
Phone (309) 944-1275

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Henry Dist Hospital CurrentSince Jan 25, 2020 Accepting new patients
Hammond Henry Dist Hospital Current Accepting new patients
Hammond Henry Hospital Past Accepting new patients
Kidney Specialists, PC PastSince Mar 6, 2023 Accepting new patients

Locations

203 W Front St
Annawan, IL 61234
Phone (309) 935-4100

1604 Cleveland Rd
Colona, IL 61241
Phone (309) 796-2999

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

1258 W South St
Kewanee, IL 61443

1258 W South St
Ste 2
Kewanee, IL 61443
Phone (309) 853-3667

Interoperability endpoints

  • Direct secure messaging: heather.lowry.1@11922.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1285281139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612757705",
            "telephone_number": "309-523-2015",
            "fax_number": "309-523-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612757705",
            "telephone_number": "309-523-2015",
            "fax_number": "309-523-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A156210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KEYSER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Byron, IL

Sources for this page

Verify at the official NPI Registry.