Active NPI
Heather Lane McCollough, ARNP
- Nurse Practitioner
- Moline, IL
National Provider Identifier
1992966287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- IA A087090
- Practice address
- 500 John Deere Rd
Moline, IL 61265-6892 - Phone
- (309) 779-4940
- NPI assigned
- Jun 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.005344 | IL | |
| Nurse Practitioner | 363L00000X | IA A087090 | IA | Primary |
Addresses
Primary practice location
500 John Deere Rd
Moline, IL 61265-6892
Mailing address
500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-4940
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000
500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000
Hospital & facility affiliations
- Trinity Rock Island
- Trinity - Bettendorf
- Trinity Muscatine
- Hammond Henry Hospital
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IA A087090 | IA | MD | Nurse Practitioner |
| 209.005344 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Vibrant Health, P.C. | Past | Accepting new patients | |
| Chest & Vascular Surgery PC | Past | Accepting new patients | |
| Costas L. Constantinou, M.D., P.C | Past | Accepting new patients |
Interoperability endpoints
- hmccollough130637@direct.unitypoint.org
- https://fhir4.healow.com/fhir/r4/FDDEBA
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Vascular Surgery Physician
- Davenport, IA
- NPI 1164492450
-
- Hematology & Oncology Physician
- Davenport, IA
- NPI 1306027164
-
- Family Medicine Physician
- Davenport, IA
- NPI 1467013565
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1992966287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 JOHN DEERE RD",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656892",
"telephone_number": "309-779-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JOHN DEERE RD",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656892",
"telephone_number": "309-779-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLLOUGH",
"first_name": "HEATHER",
"middle_name": "LANE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.005344",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "IA A087090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.