Individual provider Active NPI

Jennifer Heiden

  • Certified Registered Nurse Anesthetist
  • Temecula, CA
National Provider Identifier
1043881444
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002442 Issued in CA
Practice address
29669 Via Mondo
Temecula, CA 92592-3066
Phone
(970) 708-0752
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002442 CA Primary

Addresses

Primary practice location

29669 Via Mondo
Temecula, CA 92592-3066

Mailing address

29669 Via Mondo
Temecula, CA 92592-3066
Phone (970) 708-0752

Other practice location 1

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241125003800 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911432125 Reassigns benefits to 3 organizations
I20250108002697 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911432125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Arizona College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Anesthesia PLLCGroup PAC ID 4284813940, 83 clinicians
Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 395-3000

Hospital & facility affiliations

  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95002442CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Anesthesia Associates Inc CurrentSince Sep 25, 2024 Accepting new patients
Rancho Springs Anesthesia Partners, Inc CurrentSince Jul 7, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Oct 19, 2024 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2025 Accepting new patients
Battle Born Anesthesia Associates LTD Past Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1043881444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29669 VIA MONDO",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923066",
            "telephone_number": "970-708-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29669 VIA MONDO",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923066",
            "telephone_number": "970-708-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Civic Center Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035607",
            "country_code": "US",
            "telephone_number": "928-855-8185",
            "fax_number": "928-453-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.