Heidi Joonhee Kook-Willis, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP136938 Issued in TX

Practice address

12731 Research Blvd Ste 301C
Austin, TX 78759-4383

Phone

(512) 257-0497

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Geriatric Specialists PLLCGroup PAC ID 5092770511, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Northwest Hospital, Austin, TX, CCN 450867
• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
• Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
• Direct secure messaging: heidi.kook-willis.1@25850.direct.athenahealth.com

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.

• Austin Geriatric Specialists, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1376575886

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Hni Medical Services

  • Hospitalist Physician
  • Austin, TX
  • NPI 1366735169

  Multi-Specialty

  NPD (past)

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

• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1124137054
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1578780870
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1952804650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E 10TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023412",
            "telephone_number": "512-657-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 RESEARCH BLVD STE 301C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594383",
            "telephone_number": "512-257-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOK-WILLIS",
        "first_name": "HEIDI",
        "middle_name": "JOONHEE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Konradi
• Deborah Konrath
• Nikoleta Konstantoni Panousopoulou, D.D.S., M.S.D.
• William Mark Konyecsni, MD
• Antonia Peregonov Koob, D.D.S
• Katy Eve Koonce, LCSW
• Kristen Koontz, FNP-C
• Bryan N. Koopmann, DDS
• Nikita Koottiyaniyil
• Robert Kope, REGISTERED NURSE

• Gerontology Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.