Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heidi Wagner

Individual provider Family Nurse Practitioner · NPI 1447702147

Heidi Wagner is a Nurse Practitioner in Willowbrook, Illinois. Qualified in 2015, 11 years ago. Practices with Moments Palliative Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

545 Plainfield Rd Ste G-1
Willowbrook, IL 60527-7600
Phone: (708) 405-8025
Fax: (763) 205-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014217 (IL)

Record details

NPI number1447702147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2016
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Moments Palliative Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Willowbrook