Heather Vittetow
Individual provider Active NPI Acute Care Nurse Practitioner · Rockford, IL
NPI 1861235285 · NPPES record last updated Dec 11, 2024
Key facts
- NPI
- 1861235285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 209.029877 (IL)
- Practice address
- 209 9TH St Ste 200
Rockford, IL 61104-2235 - Phone
- (779) 696-8700
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Swedishamerican Hospital
Practice addresses (Care Compare)
209 9TH St
Suite 200
Rockford, IL 61104-2235
Phone (779) 696-2750
Hospital & facility affiliations
- Uw Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731001638 | IL | Practitioner - Nurse Practitioner | 3870030539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current |
Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current |
Accepting new patients |
Locations
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
209 9th St
Ste 200
Rockford, IL 61104
Phone (779) 696-2750
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209.029877 | IL | Yes |
Addresses
Primary practice location
209 9TH St Ste 200
Rockford, IL 61104-2235
Mailing address
6875 N Friday Rd
Byron, IL 61010-8821
Other practice location 1
1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400
Other providers in Rockford, IL
- Virtual Cardiology, LLC
- Visionworks, Inc
- Visiting Nurses Association of the Rockford Area
- Visiting Nurses Association of the Rockford Area
- Connie M Vitali
- Christopher Vittore
- Vivek Thappa, M.D., S.C.
- Tamara Alice Vodnansky
- Jan Lori Vogeler
- Heather Frances Voisin
All providers in Rockford, IL · Acute Care Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.