Individual provider Active NPI

Heidi A Larder, FNP-C

  • Nurse Practitioner
  • Zion, IL
National Provider Identifier
1346695095
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014249 Issued in IL
Practice address
2520 Elisha Avenue
Zion, IL 60099
Phone
(800) 322-9183
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6877-33 WI
Family Nurse Practitioner 363LF0000X 209014249 IL
Nurse Practitioner 363L00000X 209014249 IL Primary

Addresses

Primary practice location

2520 Elisha Avenue
Zion, IL 60099

Mailing address

2361 Paysphere Circle
Chicago, IL 60067
Phone (800) 322-9183

Other identifiers 1

IdentifierTypeStateIssuer
100109575MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hlarder289209@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20160610000730 IL Practitioner - Nurse Practitioner 9335439934 Reassigns benefits to 1 organization
I20201001001412 WI Practitioner - Nurse Practitioner 9335439934

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Practice addresses (Care Compare)

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Hospital & facility affiliations

  • Midwestern Region Med Center, Inc Hospital, Zion, IL, CCN 140100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209014249ILMDNurse Practitioner
6877-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince Apr 25, 2016 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Oct 26, 2020 Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

6811 118th Ave
Kenosha, WI 53142
Phone (262) 857-5750

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

Interoperability endpoints

  • Direct secure messaging: hlarder289209@direct.myadvocateaurora.org
  • Direct secure messaging: hlarder183465@cityofhope.direct-ci.com

Organizations & group practices 2

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.

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1346695095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "800-322-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVENUE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "800-322-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDER",
        "first_name": "HEIDI",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-03-19",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6877-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014249",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109575",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hlarder289209@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6811 118th Ave",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531428420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6811 118th Ave",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531428420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.