Individual provider Active NPI

Heather Marie Hillis, APRN, FNP-C

  • Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1750793055
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005553 Issued in AR
Practice address
902 W Main St
Russellville, AR 72801-3516
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
May 21, 2014
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005553 AR Primary
Family Nurse Practitioner 363LF0000X A005553 AR
Registered Nurse 163W00000X R089020 AR

Addresses

Primary practice location

902 W Main St
Russellville, AR 72801-3516

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (479) 970-0529

Other practice location 1

2740 College Ave
Conway, AR 72034-6141
Phone (501) 329-5459

Other practice location 2

1600 W C Pl
Russellville, AR 72801-2705
Phone (479) 967-7717

Other practice location 3

200 River Market Ave Ste 300
Little Rock, AR 72201-1770
Phone (479) 653-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WA, MT, NM, ND, ID, MD7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20180802001847 AR Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 5 organizations
I20230215001551 WA Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 2 organizations
I20240610002890 MT Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 2 organizations
I20240611002378 NM Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 2 organizations
I20240729004426 ND Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 2 organizations
I20240814004715 ID Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 2 organizations
I20250505001140 MD Practitioner - Nurse Practitioner 1355699653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians
Supportive Psych Care of Arkansas PAGroup PAC ID 8820474661, 42 clinicians

Practice addresses (Care Compare)

106 Weir Rd
Suite 4
Russellville, AR 72802-9409
Phone (479) 567-5652

1100 Lexington Ave
Suite 400
Fort Smith, AR 72901-5170
Phone (877) 522-1275

11503 Rocky Valley Dr
Little Rock, AR 72212-3035
Phone (866) 708-1240

1221 W Divide Ave
Suite 202
Bismarck, ND 58501-1224
Phone (877) 522-1275

2685 Palmer St
Suite D
Missoula, MT 59808-1709
Phone (877) 522-1275

3345 39TH St S
Suite 1
Fargo, ND 58104-7539
Phone (877) 522-1275

519 N Mechanic St
Cumberland, MD 21502-2133
Phone (509) 570-9302

532 N Telshor Blvd
Suite G
Las Cruces, NM 88011-8234
Phone (877) 522-1275

532 N Telshor Blvd G
Ideal Option PLLC
Las Cruces, NM 88011-8234
Phone 87752212752123

8050 W Rifleman St
Suite 200
Boise, ID 83704-9006
Phone 87752212752123

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone 50957093022123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R089020ARMDRegistered Nurse
A005553ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Aug 12, 2025 Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Jul 1, 2022 Accepting new patients
Supportive Psych Care of Arkansas PA CurrentSince Feb 1, 2025 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Arkansas Psychiatric Clinic Clinical Research Trials, PA CurrentSince May 15, 2019 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Aug 12, 2025 Accepting new patients
Icarepro of Texas, PA Past Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 81)

907 SE Village Loop
Ste 3
Bentonville, AR 72712

1355 Dave Ward Dr
Ste 102
Conway, AR 72034
Phone (346) 907-4805

1100 Lexington Ave
Ste 400
Fort Smith, AR 72901

1820 Central Ave
Ste D
Hot Springs National Park, AR 71901
Phone (501) 463-4627

1432 Braden St
Jacksonville, AR 72076
Phone (501) 982-7460

3637 E Johnson Ave
#B
Jonesboro, AR 72405
Phone (870) 243-4406

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

5326 W Markham St
Little Rock, AR 72205
Phone (501) 603-9885

2711 W Kingshighway
Ste 10
Paragould, AR 72450

106 Weir Rd
Ste 4
Russellville, AR 72802
Phone (479) 567-5652

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

902 W Main St
Russellville, AR 72801

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

2521 Alma Hwy
Van Buren, AR 72956
Phone (479) 474-7448

8050 W Rifleman St
Ste 200
Boise, ID 83704

3110 Cleveland Blvd
Bldg A
Caldwell, ID 83605

3110 Cleveland Blvd
Ste A7
Caldwell, ID 83605

3918 N Schreiber Way
Coeur D Alene, ID 83815
Phone (509) 961-6672

380 N Capital Ave
Ste 1
Idaho Falls, ID 83402

35 Wildcat Way
Kellogg, ID 83837
Phone (208) 784-1351

1630 23rd Ave
Ste 501
Lewiston, ID 83501

1950 E Clark St
Ste 110
Pocatello, ID 83201
Phone (208) 232-7246

2101 Pine St
Sandpoint, ID 83864
Phone (208) 263-5159

516 N Rolling Rd
Ste 301
Catonsville, MD 21228
Phone (240) 791-6150

519 N Mechanic St
Cumberland, MD 21502
Phone (240) 362-7439

Organizations & group practices 10

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1750793055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "479-970-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013516",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 College Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720346141",
            "country_code": "US",
            "telephone_number": "501-329-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W C Pl",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012705",
            "country_code": "US",
            "telephone_number": "479-967-7717",
            "fax_number": "479-967-4467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 River Market Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722011770",
            "country_code": "US",
            "telephone_number": "479-653-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005553",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005553",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R089020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.