Heather Wilson-Vani, RN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704369758 Issued in MI

Practice address

1011 Military St
Port Huron, MI 48060-5416

Phone

(810) 488-8000

Fax

(810) 488-8005

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Downriver Community Services Inc 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.wilsonvani@dcsi.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/23356/brand/1/csg/1/fhir/r4

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.

• Downriver Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Algonac, MI
  • NPI 1851399570

  MI

  Medicare reassignment Care Compare group NPD
• Advanced Wound Care of Caro PC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1700666708

  Family, MI

  Medicare reassignment NPD
• Vitality Med PLLC

  • Family Medicine Physician
  • Caro, MI
  • NPI 1043806730

  MI

  Medicare reassignment NPD
• Downriver Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1184935488
  Care Compare group NPD
• Downriver Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Haven, MI
  • NPI 1679571392
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384

  Hospital

  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1407508781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-488-8000",
            "fax_number": "810-488-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-488-8000",
            "fax_number": "810-488-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-VANI",
        "first_name": "HEATHER",
        "credential": "RN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704369758",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704369758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Deborah Willis, CPSS
• Tayler Willis
• Hailey Willoughby, FNP-C
• Willow Enterprises
• Jessica Elaine Wills
• Ashley Lauren Wilson, PA-C
• Jenne Wilson
• Tammy Sue Wilson, LPC
• Joseph Windhorst, LMSW
• Debra Lynn Wine, MSW

• All providers in Port Huron, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.