Active NPI
Heather Diane Alexander, FNP-BC
- Nurse Practitioner
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.025271
- Practice address
- 2700 W Deyoung St Ste F
Marion, IL 62959-4943 - Phone
- (618) 998-7000
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.025271 | IL | |
| Nurse Practitioner | 363L00000X | 209.025271 | IL | Primary |
Addresses
Primary practice location
2700 W Deyoung St Ste F
Marion, IL 62959-4943
Mailing address
2142 Ava Rd
Murphysboro, IL 62966-4126
Phone (618) 924-1324
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908001376 | IL | Practitioner - Nurse Practitioner | 0840674966 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Illinois Specialty Clinic, Inc.
Practice addresses (Care Compare)
303 S Commercial St
Harrisburg, IL 62946-2125
Phone (618) 767-6050
909 W Main St
West Frankfort, IL 62896-2209
Phone (618) 372-6040
Hospital & facility affiliations
- Heartland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.025271 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
716 S Commercial St
Harrisburg, IL 62946
Phone (618) 273-3361
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
2700 W Deyoung St
Ste F
Marion, IL 62959
Phone (618) 457-5330
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- heather.alexander.1@27782.direct.athenahealth.com
- halexander419555@direct.deaconess.com
Organizations & group practices 4
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
- Marion, IL
- NPI 1972210235
IL, Nurse Practitioner
-
- Interventional Cardiology Physician
- Saint Louis, MO
- NPI 1386351849
-
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
Nurse Practitioner
-
- Interventional Cardiology Physician
- Sparta, IL
- NPI 1619684172
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1992439293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 AVA RD",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629664126",
"telephone_number": "618-924-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W DEYOUNG ST STE F",
"city": "MARION",
"state": "IL",
"postal_code": "629594943",
"telephone_number": "618-998-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "HEATHER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.025271",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.025271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.