Individual provider Active NPI

Bethany Alise Henderson, DNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1215233721
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70995 Issued in NM
Practice address
1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Phone
(575) 523-4573
NPI assigned
Jan 31, 2011
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 70995 NM Primary

Addresses

Primary practice location

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304

Mailing address

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Phone (575) 523-4573

Other names 1

  • Bethany Alise Ormand Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20230309001332 NM Practitioner - Nurse Practitioner 6103299391 Reassigns benefits to 4 organizations
I20260131000112 TX Practitioner - Nurse Practitioner 6103299391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1141 Cave Springs TRL
Las Cruces, NM 88011-4002

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70995NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Sep 22, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

400 Tijeras Ave NW
Ste 200
Albuquerque, NM 87102

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (855) 322-4080

Interoperability endpoints

  • Direct secure messaging: bhenderson20392@direct-prd.molinahealthcare.com

Organizations & group practices 4

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1215233721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LUJAN HILL RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076304",
            "telephone_number": "575-523-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LUJAN HILL RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076304",
            "telephone_number": "575-523-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BETHANY",
        "middle_name": "ALISE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "70995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "ORMAND",
            "middle_name": "ALISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.