Individual provider Active NPI

Heather Winquist, NP

  • Nurse Practitioner
  • Normal, IL
National Provider Identifier
1972018398
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014753 Issued in IL
Practice address
1302 Franklin Ave Ste 3500
Normal, IL 61761-6522
Phone
(309) 268-6200
Fax
(309) 268-6224
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209014753 IL Primary
Family Nurse Practitioner 363LF0000X 036109595 IL

Addresses

Primary practice location

1302 Franklin Ave Ste 3500
Normal, IL 61761-6522

Mailing address

611 W. Park St.
Fapc
Urbana, IL 61801

Other practice location 1

1200 W Loucks Ave
Peoria, IL 61604-2604
Phone (309) 306-7421

Other practice location 2

1300 Franklin Ave Ste 230C
Normal, IL 61761-3709
Phone (309) 585-6029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20171227000267 IL Practitioner - Nurse Practitioner 9537427455 Reassigns benefits to 4 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
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1302 Franklin Ave
Suite 2500
Normal, IL 61761-6526
Phone (309) 268-2792

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209014753ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Oct 4, 2025 Accepting new patients
Methodist Medical Center of Illinois Nurse Practitioner CurrentSince Jun 3, 2019 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 3, 2019 Accepting new patients
Carle West Physician Group Inc CurrentSince Jan 18, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

1302 Franklin Ave
Ste 3500
Normal, IL 61761
Phone (217) 366-2613

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

1302 Franklin Ave
Ste 3600
Normal, IL 61761
Phone (309) 268-6770

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1972018398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 3500",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616522",
            "telephone_number": "309-268-6200",
            "fax_number": "309-268-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Loucks Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616042604",
            "country_code": "US",
            "telephone_number": "309-306-7421",
            "fax_number": "309-966-3091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Franklin Ave Ste 230C",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617613709",
            "country_code": "US",
            "telephone_number": "309-585-6029",
            "fax_number": "309-585-6036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINQUIST",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014753",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "036109595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.