Kathryn Ann Heetland, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

H120703 Issued in IA

Practice address

200 E Ridgeway Ave
Waterloo, IA 50702-5060

Phone

(319) 272-2800

Fax

(319) 272-2807

NPI assigned

Jul 26, 2013

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 IA

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
• Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
• Mercyone Oelwein Medical Center Hospital, Oelwein, IA, CCN 161338
• Waverly Health Center Hospital, Waverly, IA, CCN 161339
• Mercy Medical Center-New Hampton Hospital, New Hampton, IA, CCN 161331

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kheetland3963875@direct.trinity-health.org

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.

• Covenant Medical Center Inc

  dba MercyOne Medical Group Northeast Iowa

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  Medicare reassignment Care Compare group NPD
• Covenant Medical Center, Inc.

  dba MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

• Covenant Medical Center Inc

  dba MercyOne Waterloo Medical Center

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation
• Mercy Hospital of Franciscan Sisters Inc

  dba MercyOne Oelwein Medical Center

  • Critical Access Hospital
  • Oelwein, IA
  • NPI 1528009511
  Care Compare affiliation
• Mercy Medical Center New Hampton

  dba MercyOne New Hampton Medical Center (Hosp)

  • Critical Access Hospital
  • New Hampton, IA
  • NPI 1770651515
  Care Compare affiliation
• Sartori Memorial Hospital Inc

  dba MercyOne Cedar Falls Medical Center

  • General Acute Care Hospital
  • Cedar Falls, IA
  • NPI 1942241955
  Care Compare affiliation
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Care Compare affiliation

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1578905832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025060",
            "telephone_number": "319-272-2800",
            "fax_number": "319-272-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025060",
            "telephone_number": "319-272-2800",
            "fax_number": "319-272-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETLAND",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H120703",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J120703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthpro Disability Care LLC
• Hearing Unlimited LLC (Black Hawk Hearing Aid Center)
• Heartland Laboratories Inc (Tom Leisure Prosthetics)
• Heartland Neurosurgical Services PLLC
• Mary Margaret Heatley, PA-C
• Lisa Elaine Heiden-Kimball, LMHC
• Corinne Heiman, BCBA, LBA
• Brittney Michelle Heims, ARNP, FNP-BC
• Jonathan P Heine, PT
• Amber Lynn Heller, NP

• Adult Health Nurse Practitioner in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Adult Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.