NPIMap

Individual provider Active NPI

Heather Marks

  • Family Nurse Practitioner
  • Meyersdale, PA
National Provider Identifier
1366896342
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017112 Issued in PA
Practice address
7160 Mason Dixon Hwy
Meyersdale, PA 15552-7288
Phone
(814) 634-5935
Fax
(814) 634-9140
NPI assigned
Apr 15, 2016
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017112 PA Primary
Family Nurse Practitioner 363LF0000X R201525 MD

Addresses

Primary practice location

7160 Mason Dixon Hwy
Meyersdale, PA 15552-7288

Mailing address

200 Hospital Dr
Meyersdale, PA 15552-1249
Phone (814) 634-5935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831000168 PA Practitioner - Nurse Practitioner 4284907965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Hospital Dr
Meyersdale, PA 15552-1249
Phone (814) 634-5911

202 Beachley St
Meyersdale, PA 15552-1220
Phone (814) 247-3130

312 Industrial Park Rd
Meyersdale, PA 15552-7290
Phone (814) 534-9123

7160 Mason Dixon Hwy
Meyersdale, PA 15552-7288
Phone (814) 634-5935

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Meyersdale Medical Center LLC CurrentSince Jun 26, 2017 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Jun 26, 2017 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123

7160 Mason Dixon Hwy
Meyersdale, PA 15552
Phone (814) 634-5935

Interoperability endpoints

  • Direct secure messaging: hmarks33678@direct.conemaugh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1366896342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521249",
            "telephone_number": "814-634-5935",
            "fax_number": "814-634-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 MASON DIXON HWY",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155527288",
            "telephone_number": "814-634-5935",
            "fax_number": "814-634-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017112",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meyersdale, PA

Sources for this page

Verify at the official NPI Registry.