Individual provider Active NPI

Heather Ann Reese, APN

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1407517311
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209023496 Issued in IL
Practice address
1235 N Mulford Rd Ste 205
Rockford, IL 61107-3879
Phone
(815) 484-9900
Fax
(815) 487-4949
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209023496 IL Primary

Addresses

Primary practice location

1235 N Mulford Rd Ste 205
Rockford, IL 61107-3879

Mailing address

1235 N Mulford Rd Ste 205
Rockford, IL 61107-3879
Phone (815) 484-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20220125001240 IL Practitioner - Nurse Practitioner 7911399985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Services of Illinois, SCGroup PAC ID 3072655687, 7 clinicians

Practice addresses (Care Compare)

1235 N Mulford Rd
Suite 205
Rockford, IL 61107-3879
Phone (815) 484-9900

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
62.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209023496ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Services of Illinois, SC Nurse Practitioner CurrentSince Jan 15, 2022 Accepting new patients
Stenstrom Dermatology SC PastSince Jan 15, 2022 Accepting new patients

Locations

1235 N Mulford Rd
Ste 205
Rockford, IL 61107
Phone (815) 484-9900

Interoperability endpoints

  • Direct secure messaging: hreese1@mdskinderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1407517311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N MULFORD RD STE 205",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073879",
            "telephone_number": "815-484-9900",
            "fax_number": "815-487-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N MULFORD RD STE 205",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073879",
            "telephone_number": "815-484-9900",
            "fax_number": "815-487-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209023496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.