Heather Benson
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI 1225613896 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1225613896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 8329 (AZ)
- Practice address
- 1705 W Main St
Mesa, AZ 85201-6920 - Phone
- (480) 964-2273
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adelante Healthcare, Inc
Practice addresses (Care Compare)
1705 W Main St
Mesa, AZ 85201-6920
Phone (877) 809-5092
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629003469 | AZ | Practitioner - Physician Assistant | 7315348208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8329 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare Inc | Community/Behavioral Health | Current |
Accepting new patients |
| Adelante Healthcare, Inc | Single Specialty | Current |
Accepting new patients |
| Adelante Healthcare, Inc. | Past | Accepting new patients |
Locations
306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814
13471 W Cornerstone Blvd
Goodyear, AZ 85395
1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769
15525 N 83rd Ave
Ste 104
Peoria, AZ 85382
9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222
15317 W Bell Rd
Ste 100
Surprise, AZ 85374
15351 W Bell Rd
Surprise, AZ 85374
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8329 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 8329 | AZ | Yes |
Addresses
Primary practice location
1705 W Main St
Mesa, AZ 85201-6920
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (480) 964-2273
Other providers in Mesa, AZ
- Ralph Edward Bennett
- Steven Bryce Bennett
- James Edward Benninger II
- Clint Bennion
- Alexa Benson
- Jacob Benson
- Katherine Elizabeth Benson
- Kirby Taylor Benson
- Lynn Benson
- Joseph Richard Bentley
All providers in Mesa, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.