Heather E Becerril, NP – Nurse Practitioner

Key facts

NPI: 1306429311
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 8302958-4405 (UT)
Practice address: 1916 N 700 W Ste 250
Layton, UT 84041-5723
Phone: (801) 479-0312
Fax: (801) 479-3364
NPI assigned: Apr 29, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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

Ogden Clinic Specialty Services LLC Sports Medicine (Family Medicine) Physician · Ogden, UT · NPI 1114203668

Medicare reassignment Care Compare group NPD UT
Ogden Clinic PC Family Medicine Physician · Ogden, UT · NPI 1578550083

NPD NURSE PRACTITIONER

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Ogden Clinic Specialty Services LLC (131 clinicians)

Practice addresses (Care Compare)

1916 N 700
Suite 250
Layton, UT 84041-5723
Phone (801) 479-0312

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT
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
I20231030000988	UT	Practitioner - Nurse Practitioner	0345696233	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
83029583102	UT	MD	Registered Nurse
8302958-4405	UT	MD	Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Ogden Clinic Specialty Services LLC		Current since Sep 3, 2023	Accepting new patients
Ogden Clinic PC	Nurse Practitioner	Current	Accepting new patients

Locations

1916 N 700 W
Ste 250
Layton, UT 84041
Phone (801) 479-0312

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	8302958-4405	UT	Yes
Registered Nurse	163W00000X	83029583102	UT

Addresses

Primary practice location

1916 N 700 W Ste 250
Layton, UT 84041-5723

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500

Other names

Heather Roberts Former name

Other providers in Layton, UT

All providers in Layton, UT · Nurse Practitioner in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.