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

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.

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 (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
D090565IAMDCertified Registered Nurse Anesthetist

Practice roles

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0209593MedicaidIA
50171OtherIAWELLMARK GROUP #
50171OtherIAGROUP MEDICARE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2025.

{
    "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

All providers in West Des Moines, IA · Certified Registered Nurse Anesthetist in Iowa

Sources for this page

Verify at the official NPI Registry.