NPIMap

Individual provider Active NPI

Heather Hartman, CNP

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1598878464
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209004669 Issued in IL
Practice address
5979 Nebeshone Lane
Rockford, IL 61103
Phone
(815) 977-4580
NPI assigned
Aug 16, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 209004669 IL Primary

Addresses

Primary practice location

5979 Nebeshone Lane
Rockford, IL 61103

Mailing address

5979 Nebeshone Lane
Rockford, IL 61103
Phone (815) 977-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040402000637 IL Practitioner - Nurse Practitioner 0345232344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jet Healthcare LLCGroup PAC ID 1456781889, 20 clinicians

Practice addresses (Care Compare)

5979 Nebeshone LN
Rockford, IL 61103-8926

811 W 2ND St
Byron, IL 61010-1464
Phone (815) 234-2511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209004669ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jet Healthcare LLC Nurse Practitioner CurrentSince Mar 2, 2020 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Dec 22, 2022 Accepting new patients
LTC Medical Inc Nurse Practitioner Current Accepting new patients
Transitions Home Medical Group PLLC Nurse Practitioner CurrentSince Nov 1, 2016 Accepting new patients

Locations

150 Weiland Rd
Buffalo Grove, IL 60089
Phone (224) 456-6662

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

7117 Crimson Ridge Dr
Ste 3
Rockford, IL 61107
Phone (815) 316-8700

Interoperability endpoints

  • Direct secure messaging: heather.hartman.p1@direct.thmg.nextgenshare.com

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1598878464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NEBESHONE LANE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61103",
            "telephone_number": "815-977-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NEBESHONE LANE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61103",
            "telephone_number": "815-977-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209004669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.