Individual provider Active NPI

Heidi L. Prose, A.R.N.P.

  • Nurse Practitioner
  • Waverly, IA
National Provider Identifier
1831484898
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A-121410 Issued in IA
Practice address
312 9TH St SW Ste 1200
Waverly, IA 50677-2909
Phone
(319) 352-4340
Fax
(319) 352-0745
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 A-121410 IA Primary

Addresses

Primary practice location

312 9TH St SW Ste 1200
Waverly, IA 50677-2909

Mailing address

312 9TH St SW Ste 1200
Waverly, IA 50677-2909
Phone (319) 352-4340

Other practice location 1

1753 W Ridgeway Ave Ste 102
Waterloo, IA 50701-4544
Phone (319) 833-5888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110714000786 IA Practitioner - Nurse Practitioner 3678741741 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-121410IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 1, 2011 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Oct 27, 2020 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Oct 27, 2020 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Central Iowa Healthcare Past Accepting new patients

Locations

502 Locust St
Allison, IA 50602
Phone (319) 267-2759

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

3425 1st Ave SE
Cedar Rapids, IA 52402

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

1753 W Ridgeway Ave
Ste 102
Waterloo, IA 50701
Phone (319) 833-5888

312 9th St SW
Ste 1200
Waverly, IA 50677
Phone (319) 352-0745

Interoperability endpoints

  • Direct secure messaging: hprose112661@direct.unitypoint.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831484898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW STE 1200",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772909",
            "telephone_number": "319-352-4340",
            "fax_number": "319-352-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW STE 1200",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772909",
            "telephone_number": "319-352-4340",
            "fax_number": "319-352-0745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1753 W Ridgeway Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507014544",
            "country_code": "US",
            "telephone_number": "319-833-5888",
            "fax_number": "319-833-5891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROSE",
        "first_name": "HEIDI",
        "middle_name": "L.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-121410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.