Individual provider Active NPI

Heather Hupperts-Harman, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryland Heights, MO
National Provider Identifier
1851999585
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209022509 Issued in IL
Practice address
11827 McKelvey Gardens Dr
Maryland Heights, MO 63043
Phone
(314) 954-2162
Fax
(470) 211-1222
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209022509 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209022509 IL Primary

Addresses

Primary practice location

11827 McKelvey Gardens Dr
Maryland Heights, MO 63043

Mailing address

11827 McKelvey Gardens Dr
Maryland Heights, MO 63043
Phone (314) 954-2162

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.hupperts-harman.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210129001031 IL Practitioner - Nurse Practitioner 0345654539 Reassigns benefits to 4 organizations
I20211026001154 MO Practitioner - Nurse Practitioner 0345654539 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209022509ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Granite City Urgent Care Walk-in Clinic CurrentSince Dec 15, 2020 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Aug 23, 2021 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Dec 15, 2020 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 11, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 11, 2024 Accepting new patients

Locations

2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2166 Madison Ave
Granite City, IL 62040
Phone (618) 452-3301

2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

5440 NW 64th St
Kansas City, MO 64151
Phone (816) 506-9933

11560 Olive Blvd
Saint Louis, MO 63141
Phone (314) 892-8352

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

Interoperability endpoints

  • Direct secure messaging: heather.hupperts-harman.1@9559.direct.athenahealth.com

Organizations & group practices 8

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1851999585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11827 MCKELVEY GARDENS DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-954-2162",
            "fax_number": "470-211-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11827 MCKELVEY GARDENS DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-954-2162",
            "fax_number": "470-211-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPPERTS-HARMAN",
        "first_name": "HEATHER",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022509",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209022509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.hupperts-harman.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2166 Madison Ave",
            "city": "Granite City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620404700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.