Active NPI
Heather M Hitesman, ARNP
- Acute Care Nurse Practitioner
- Davenport, IA
National Provider Identifier
1992259642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- H120536
- Practice address
- 1351 W. Central Park
Suite 3300
Davenport, IA 52804-1889 - Phone
- (563) 421-0430
- Fax
- (563) 421-0439
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | H120536 | IA | Primary |
Addresses
Primary practice location
1351 W. Central Park
Suite 3300
Davenport, IA 52804-1889
Mailing address
PO Box 4028
Rock Island, IL 61204-4028
Phone (563) 355-9200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather.hitesman@direct.genesishealth.com | Direct |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1351 W Central Park Ave
Davenport, IA 52804-1889
4700 E 56TH St
Davenport, IA 52807-2904
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Mercyone Clinton Medical Center
- Mercyone Genesis Dewitt Medical Center
- Trinity Rock Island
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1351 W Central Park Ave
Ste 3300
Davenport, IA 52804
Phone (563) 383-2667
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
Interoperability endpoints
- heather.hitesman@direct.genesishealth.com
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 and National Provider Directory roles.
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Family Medicine Physician
- Moline, IL
- NPI 1164538435
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1992259642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4028",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612044028",
"telephone_number": "563-355-9200",
"fax_number": "563-355-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 W. CENTRAL PARK",
"address_2": "SUITE 3300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041889",
"telephone_number": "563-421-0430",
"fax_number": "563-421-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITESMAN",
"first_name": "HEATHER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "H120536",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heather.hitesman@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "4700 E 56th St",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528072904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.