Individual provider Active NPI

Courtney Heater, P.A.

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1891190401
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
074808 Issued in IA
Practice address
1201 Penn Ave
Des Moines, IA 50316-2339
Phone
(515) 266-1000
NPI assigned
Oct 24, 2014
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 074808 IA Primary

Addresses

Primary practice location

1201 Penn Ave
Des Moines, IA 50316-2339

Mailing address

2815 Hickman Rd
Des Moines, IA 50310-5554
Phone (515) 783-6493

Other identifiers 1

IdentifierTypeStateIssuer
P01429641OtherIARR MEDICARE

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
I20141204002053 IA Practitioner - Physician Assistant 7416279260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6435

1206 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6465

1301 Penn Ave
Suite 100
Des Moines, IA 50316-2364

2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000

301 E Hillcrest Ave
Family Med Indi
Indianola, IA 50125-9027
Phone (515) 961-3700

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

6000 University Ave
Suite A20
West Des Moines, IA 50266-8200
Phone (515) 241-2330

6400 Hickman Rd
Windsor Heights, IA 50324-5001
Phone (515) 274-3551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
074808IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 18, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Mar 18, 2024 Accepting new patients

Locations

2515 SW State St
Ste 100
Ankeny, IA 50023
Phone (515) 964-6929

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

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

1050 4th Ave SE
Cedar Rapids, IA 52403
Phone (319) 366-8714

1201 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 266-1000

1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

Interoperability endpoints

  • Direct secure messaging: cheater231580@direct.unitypoint.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1891190401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105554",
            "telephone_number": "515-783-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PENN AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162339",
            "telephone_number": "515-266-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATER",
        "first_name": "COURTNEY",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "074808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01429641",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.