Mark L Hilliard, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · West Des Moines, IA
NPI 1336147339 · NPPES record last updated Oct 5, 2025
Key facts
- NPI
- 1336147339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- D090565 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ikc LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100813001010 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4183758006 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D090565 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringgold County Hospital | Current |
Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Ikc, LLC | Current |
Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Ringgold County Hospital | Current |
Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Decatur County Hospital | Current |
Accepting new patients | |
| Metro Anesthesia & Pain Mngmt LLP | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Metro Anesthesia & Pain Mngmt LLP | Current |
Accepting new patients | |
| Broadlawns Medical Center | Current |
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
Bldg First
Des Moines, IA 50314
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226
610 10th St
Perry, IA 50220
Phone (515) 465-3547
6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880
5901 Westown Pkwy
Ste 210
West Des Moines, IA 50266
Phone (515) 221-9222
1701 48th St
Ste 260
West Des Moines, IA 50266
Phone (515) 348-6380
Interoperability endpoints
- mhilliard228059@uihcdirect.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D090565 | IA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0209593 | Medicaid | IA | |
| 50171 | Other | IA | WELLMARK GROUP # |
| 50171 | Other | IA | GROUP MEDICARE NUMBER |
NPI Registry JSON
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0209593",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK GROUP #",
"identifier": "50171",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "50171",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
- Hannah Hildahl
- Malia Hildreth
- Ashley Hill
- Carol Anne Hill
- Kerrie Jo Hill
- Mary E Hilliard
- Ronald Devere Hilliard
- Laura Hirl
- Norma J Hirsch
- Alec Hirschauer
All providers in West Des Moines, IA · Certified Registered Nurse Anesthetist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2025. 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.
- 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.