Individual provider Active NPI

Heather Renee Irelan, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1881139905
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277003170 Issued in IL
Practice address
805 Bloomington Rd
Champaign, IL 61820-2101
Phone
(217) 600-7165
NPI assigned
Dec 28, 2016
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277003170 IL
Family Nurse Practitioner 363LF0000X 71007116A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003170 IL Primary

Addresses

Primary practice location

805 Bloomington Rd
Champaign, IL 61820-2101

Mailing address

2501 Chatham Rd # 4686
Springfield, IL 62704-4188
Phone (217) 681-3290

Other practice location 1

2501 Chatham Rd # 4686
Springfield, IL 62704-4188
Phone (217) 681-3290

Other practice location 2

106 W Cumberland St
Greenup, IL 62428-1072
Phone (217) 681-3290

Other identifiers 1

IdentifierTypeStateIssuer
277.003170OtherILAPRN-FPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170710000085 IN Practitioner - Nurse Practitioner 0547544280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71007116AINMDFamily Nurse Practitioner
277003170ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Nov 20, 2024 Accepting new patients
Albert C. Lee, M.D., P.C. CurrentSince Aug 5, 2020 Accepting new patients
Recovery Concepts Urbana, LLC CurrentSince Dec 15, 2021 Accepting new patients
Valley Oaks Health Inc CurrentSince Nov 20, 2024 Accepting new patients
Hummingbird Behavioral Health and Wellness PLLC Psychiatric/Mental Health PastSince Aug 1, 2024 Accepting new patients

Locations

805 Bloomington Rd
Champaign, IL 61820
Phone (217) 600-7165

41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187

3731 Rome Dr
#A
Lafayette, IN 47905

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1881139905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD # 4686",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "217-681-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BLOOMINGTON RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202101",
            "telephone_number": "217-600-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Chatham Rd # 4686",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044188",
            "country_code": "US",
            "telephone_number": "217-681-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 W Cumberland St",
            "address_purpose": "LOCATION",
            "city": "Greenup",
            "state": "IL",
            "postal_code": "624281072",
            "country_code": "US",
            "telephone_number": "217-681-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRELAN",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007116A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-FPA",
            "identifier": "277.003170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.