Heather Renee Lowry, NP-C
Individual provider Active NPI Family Nurse Practitioner · Port Byron, IL
NPI 1285281139 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1285281139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A156210 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hammond Henry Dist Hospital
Amana Medical Care Inc
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
- Hammond Henry Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200205001368 | IL | Practitioner - Nurse Practitioner | 5092141309 | Reassigns benefits to 2 organizations |
| I20230323002034 | IA | Practitioner - Nurse Practitioner | 5092141309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156210 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Kidney Specialists, PC | Past |
Accepting new patients | |
| Hammond Henry Hospital | Past | 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
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1258 W South St
Kewanee, IL 61443
1258 W South St
Ste 2
Kewanee, IL 61443
Interoperability endpoints
- heather.lowry.1@11922.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A156210 | IA | Yes |
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
- Heather Keyser
Other providers in Port Byron, IL
- Barbara Ann Gillman
- Gregory L Glade
- Sarah Lynn Goodson
- Gregory L Glade DMD PC
- Abigail Martina Johnson
- Patricia Ann Mayo
- Rhonda Lynn Owens
- Frederick Bruce Perry
- River City Alternative Health, Inc.
- Riverdale School District 100
All providers in Port Byron, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.