Individual provider Active NPI

Heather Leasure, APN

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1700326220
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015687 Issued in IL
Practice address
2902 McFarland Rd Ste 100
Rockford, IL 61107-6801
Phone
(815) 316-7300
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015687 IL Primary

Addresses

Primary practice location

2902 McFarland Rd Ste 100
Rockford, IL 61107-6801

Mailing address

2902 McFarland Rd Ste 100
Rockford, IL 61107-6801
Phone (815) 316-7300

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
I20170412002133 IL Practitioner - Nurse Practitioner 7517243249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Pain Center LTDGroup PAC ID 1658403357, 5 clinicians

Practice addresses (Care Compare)

2902 McFarland Rd
Suite 100
Rockford, IL 61107-6801
Phone (815) 316-7300

Hospital & facility affiliations

  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Pain Center LTD CurrentSince Feb 18, 2017 Accepting new patients

Locations

2902 McFarland Rd
Ste 202
Rockford, IL 61107
Phone (815) 316-7300

2902 McFarland Rd
Ste 100
Rockford, IL 61107
Phone (815) 316-7300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJGBD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1700326220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-316-7300",
            "fax_number": "815-316-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-316-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASURE",
        "first_name": "HEATHER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.