Individual provider Active NPI

Heather Ashley Bettencourt, RN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1093054843
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
824533 Issued in NV
Practice address
3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858
Phone
(702) 848-4443
NPI assigned
Feb 13, 2013
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 824533 NV
Family Nurse Practitioner 363LF0000X 824533 NV Primary

Addresses

Primary practice location

3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858

Mailing address

PO Box 600
PFS Business Office
Tuba City, AZ 86045-0600
Phone (928) 283-2094

Other practice location 1

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (701) 961-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191218002211 NV Practitioner - Nurse Practitioner 2567896921 Reassigns benefits to 2 organizations
I20260203004495 FL Practitioner - Nurse Practitioner 2567896921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Nurse Practitioner CurrentSince Oct 21, 2019 Accepting new patients
Fremont Emergency Services Scherr LTD Nurse Practitioner CurrentSince Oct 21, 2019 Accepting new patients
Fremont Emergency Services Scherr LTD Current Accepting new patients
Edwards MD PC CurrentSince Dec 3, 2024 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Crum,Stefanko and Jones LTD Past Accepting new patients
Fremont Emergency Services Scherr LTD Nurse Practitioner Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1093054843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "address_2": "PFS BUSINESS OFFICE",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450600",
            "telephone_number": "928-283-2094",
            "fax_number": "928-283-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 W CHARLESTON BLVD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021858",
            "telephone_number": "702-848-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092317",
            "country_code": "US",
            "telephone_number": "701-961-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTENCOURT",
        "first_name": "HEATHER",
        "middle_name": "ASHLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "824533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "824533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.