Heidi Arens, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Encinitas, CA
NPI 1104302173 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1104302173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95007822 (CA)
- Practice address
- 4403 Manchester Ave Ste 107
Encinitas, CA 92024-4939 - Phone
- (760) 224-1944
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Past | Accepting new patients | |
| Functional Medicine of Idaho PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007822 | CA | Yes |
Addresses
Primary practice location
4403 Manchester Ave Ste 107
Encinitas, CA 92024-4939
Mailing address
4403 Manchester Ave Ste 107
Encinitas, CA 92024-4939
Phone (760) 224-1944
Other providers in Encinitas, CA
- Kim N Aoto
- Fides Jessica Quiambao Apusen
- Mohammad B Arbabi
- Abhimanyu Rupert Ardagh
- Ann Varghese Areeckal
- Georges Maxime Argoud
- Maria Ana Argoud
- Edith Causing Arguelles
- Arlene Stephenson Wyatt Health
- Kelly Marie Armstrong
All providers in Encinitas, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.