Individual provider Active NPI

Heather A. Hostetler, CNM

  • Advanced Practice Midwife
  • Elkhart, IN
National Provider Identifier
1497154561
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
090002474 Issued in IN
Practice address
1215 Lawn Ave Ste 100
Elkhart, IN 46514-2493
Phone
(574) 293-2893
Fax
(574) 293-1298
NPI assigned
Aug 14, 2014
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 090002474 IN Primary

Addresses

Primary practice location

1215 Lawn Ave Ste 100
Elkhart, IN 46514-2493

Mailing address

3245 Health Dr.
Suite 100
Granger, IN 46530-3245
Phone (547) 647-1840

Other practice location 1

2222 Rieth Blvd
Suite 104
Goshen, IN 46526-5869
Phone (574) 875-1082

Other practice location 2

206 W Warren St
Middlebury, IN 46540-9410
Phone (574) 825-2146

Other practice location 3

2405 West Lexington Avenue
Elkhart, IN 46514-1417
Phone (574) 295-8805

Other practice location 4

1215 Lawn Ave Ste 110
Elkhart, IN 46514-2493
Phone (574) 524-7570

Other practice location 5

1545 Cassopolis St
Elkhart, IN 46514-3128
Phone (574) 584-7373

Other identifiers 1

IdentifierTypeStateIssuer
201249180MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HOSTETLER@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923000394 IN Practitioner - Certified Nurse Midwife (CNM) 1951520022 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
090002474INMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group, Inc. Advanced Practice Midwife CurrentSince Sep 15, 2014 Accepting new patients
Beacon Medical Group Inc CurrentSince Sep 15, 2014 Accepting new patients
Healthlinc, Inc CurrentSince Jun 27, 2019 Accepting new patients
Healthlinc, Inc CurrentSince Jun 27, 2019 Accepting new patients
Heart City Health Center Pharmacy Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

1215 Lawn Ave
Ste 100
Elkhart, IN 46514
Phone (574) 293-2893

1215 Lawn Ave
Ste 110
Elkhart, IN 46514
Phone (574) 524-7570

1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 584-2501

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

2405 W Lexington Ave
Elkhart, IN 46514
Phone (574) 295-8805

2222 Rieth Blvd
Ste 104
Goshen, IN 46526
Phone (574) 875-1082

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

206 W Warren St
Middlebury, IN 46540
Phone (219) 825-2146

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: heather.hostetler.1@11397.direct.athenahealth.com
  • Direct secure messaging: hhostetler@mybeacon.cernerdirect.com
  • Direct secure messaging: hostetler@mybeacon.cernerdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1497154561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR.",
            "address_2": "SUITE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465303245",
            "telephone_number": "547-647-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAWN AVE STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142493",
            "telephone_number": "574-293-2893",
            "fax_number": "574-293-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Rieth Blvd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 W Warren St",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "IN",
            "postal_code": "465409410",
            "country_code": "US",
            "telephone_number": "574-825-2146",
            "fax_number": "574-524-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 West Lexington Avenue",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141417",
            "country_code": "US",
            "telephone_number": "574-295-8805",
            "fax_number": "574-524-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lawn Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142493",
            "country_code": "US",
            "telephone_number": "574-524-7570",
            "fax_number": "574-524-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Cassopolis St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465143128",
            "country_code": "US",
            "telephone_number": "574-584-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSTETLER",
        "first_name": "HEATHER",
        "middle_name": "A.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "090002474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201249180",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HOSTETLER@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "206 W Warren St",
            "city": "Middlebury",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465409410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.