Active NPI
Heidi L. Prose, A.R.N.P.
- Nurse Practitioner
- Waverly, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A-121410
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-121410 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | 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
- 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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Emergency Medicine Physician
- Marshalltown, IA
- NPI 1164957593
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
-
- Home Health Agency
- Marshalltown, IA
- NPI 1336125921
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.