Individual provider Active NPI

Heather Ann Wilson, ARNP, CNM

  • Advanced Practice Midwife
  • Maysville, KY
National Provider Identifier
1801127022
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
48563 Issued in KY
Practice address
927 Kenton Station Dr
Maysville, KY 41056-9609
Phone
(606) 759-5331
Fax
(606) 759-5363
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 48563 KY Primary

Addresses

Primary practice location

927 Kenton Station Dr
Maysville, KY 41056-9609

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwilson7796@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100518000127 OH Practitioner - Certified Nurse Midwife (CNM) 2264577683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Professional Services LTDGroup PAC ID 1456531870, 40 clinicians

Practice addresses (Care Compare)

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 333-6462

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48563KYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 22, 2017 Accepting new patients
Memorial Professional Services LTD CurrentSince Dec 1, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Jan 22, 2017 Accepting new patients
Bay Park Community Hospital Past Accepting new patients

Locations

1076 W McPherson Hwy
Ste 1
Clyde, OH 43410

455 W 4th St
Ste 20
Fostoria, OH 44830

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

1922 Glen Springs Dr
Fremont, OH 43420
Phone (419) 333-2798

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2751 Bay Park Dr
Ste 304
Oregon, OH 43616
Phone (419) 690-7611

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

1854 E Perry St
Ste 4
Port Clinton, OH 43452

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: hwilson7796@direct.promedica.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1801127022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569609",
            "telephone_number": "606-759-5331",
            "fax_number": "606-759-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "48563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwilson7796@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.