Individual provider Active NPI

Megan G Heesch, NURSE PRACTIONER

  • Pediatric Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1982076295
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C101642 Issued in IA
Practice address
804 Kenyon Rd
Suite F
Fort Dodge, IA 50501-5742
Phone
(515) 576-3100
Fax
(515) 576-3104
NPI assigned
Oct 26, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C101642 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Suite F
Fort Dodge, IA 50501-5742

Mailing address

804 Kenyon Rd
Suite F
Fort Dodge, IA 50501-5742
Phone (515) 576-3100

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
I20170213000348 IA Practitioner - Nurse Practitioner 7416230727 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Past Accepting new patients
Iowa ENT & Sinus Surgery Center PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mheesch9457@uihcdirect.org

Organizations & group practices 3

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1982076295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE F",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-576-3100",
            "fax_number": "515-576-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE F",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-576-3100",
            "fax_number": "515-576-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESCH",
        "first_name": "MEGAN",
        "middle_name": "G",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C101642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.