Individual provider Active NPI

Karen Sue Heustis, FNPC

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1174715825
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14928 Issued in CA
Practice address
1245 E Herndon Ave
Fresno, CA 93720-3235
Phone
(559) 664-4000
NPI assigned
Aug 16, 2007
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14928 CA Primary

Addresses

Primary practice location

1245 E Herndon Ave
Fresno, CA 93720-3235

Mailing address

19705 Valley LN
Redding, CA 96002-9608
Phone (530) 999-3706

Other practice location 1

19705 Valley Ln # A
Redding, CA 96002-9608
Phone (530) 999-3706

Other identifiers 7

IdentifierTypeStateIssuer
54428OtherCAPUBLIC HEALTH
RHM53832HMedicaidCA
5145855124OtherCADOT
2005007373OtherCAANCC
RHM55382OtherCARURAL HEALTH
13996544OtherCACAQH
14928OtherCABRN

Other names 1

  • Ms. Karen Sue Edwards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000846 CA Practitioner - Nurse Practitioner 2466547518 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14928CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Mogo Urgent Care CurrentSince May 1, 2023 Accepting new patients
Gateway Medical Center Inc PastSince Jul 28, 2019 Accepting new patients
Greenville Rancheria Past Accepting new patients
Greenville Rancheria Past Accepting new patients
Oroville Hospital Past Accepting new patients
Gateway Medical Services, Inc. Family Medicine PastSince Jul 28, 2019 Accepting new patients

Locations

2020 Del Monte Ave
Ste B
Monterey, CA 93940
Phone (831) 622-6930

1611 Feather River Blvd
Oroville, CA 95965
Phone (530) 532-8523

1611 Feather River Blvd
Ste 6
Oroville, CA 95965
Phone (530) 532-8504

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

Interoperability endpoints

  • Direct secure messaging: karen.heustis.1@25900.direct.athenahealth.com

Organizations & group practices 7

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1174715825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19705 VALLEY LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960029608",
            "telephone_number": "530-999-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203235",
            "telephone_number": "559-664-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19705 Valley Ln # A",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960029608",
            "country_code": "US",
            "telephone_number": "530-999-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUSTIS",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH",
            "identifier": "54428",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53832H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOT",
            "identifier": "5145855124",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2005007373",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH",
            "identifier": "RHM55382",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13996544",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "14928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "EDWARDS",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.