Individual provider Active NPI

Mark L Hilliard, CRNA

  • Certified Registered Nurse Anesthetist
  • West Des Moines, IA
National Provider Identifier
1336147339
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D090565 Issued in IA
Practice address
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone
(515) 221-9222
Fax
(515) 221-0575
NPI assigned
Jul 13, 2005
Last updated
Oct 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D090565 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218

Mailing address

5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297
Phone (515) 221-9222

Other practice location 1

1960 SW Magazine Rd
Ankeny, IA 50023-2978
Phone (515) 401-4774

Other practice location 2

1701 48th St Ste 260
West Des Moines, IA 50266-6726
Phone (515) 401-4774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813001010 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183758006 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ikc LLCGroup PAC ID 5294140851, 19 clinicians

Practice addresses (Care Compare)

1701 48TH St
Suite 260
West Des Moines, IA 50266-6726
Phone (515) 401-4774

1960 SW Magazine Rd
Ankeny, IA 50023-2978
Phone (515) 401-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Anesthesia & Pain Mngmt LLP CurrentSince Feb 1, 2017 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 20, 2014 Accepting new patients
Decatur County Hospital CurrentSince May 1, 2024 Accepting new patients
Ringgold County Hospital CurrentSince Jul 15, 2017 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 20, 2014 Accepting new patients
Metro Anesthesia & Pain Mngmt LLP Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Ikc, LLC CurrentSince Oct 1, 2022 Accepting new patients
Ringgold County Hospital Current Accepting new patients
Ringgold County Hospital Current Accepting new patients
Ringgold County Hospital CurrentSince Jul 15, 2017 Accepting new patients

Locations

1960 SW Magazine Rd
Ankeny, IA 50023
Phone (515) 348-6380

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2339

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

610 10th St
Perry, IA 50220
Phone (515) 465-3547

1701 48th St
Ste 260
West Des Moines, IA 50266
Phone (515) 348-6380

5901 Westown Pkwy
Ste 210
West Des Moines, IA 50266
Phone (515) 221-9222

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mhilliard228059@uihcdirect.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1336147339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 SW Magazine Rd",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500232978",
            "country_code": "US",
            "telephone_number": "515-401-4774",
            "fax_number": "515-254-3092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 48th St Ste 260",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502666726",
            "country_code": "US",
            "telephone_number": "515-401-4774",
            "fax_number": "515-254-3092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D090565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.