Individual provider Active NPI

Heather Rene Alter

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1396210696
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54103 Issued in NM
Practice address
3825 Eubank Blvd NE
Albuquerque, NM 87111-3575
Phone
(800) 640-3451
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 54103 NM Primary

Addresses

Primary practice location

3825 Eubank Blvd NE
Albuquerque, NM 87111-3575

Mailing address

10009 Lexington Ave NE
Albuquerque, NM 87112-1506
Phone (505) 259-6256

Other practice location 1

5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone (505) 823-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20181120000790 NM Practitioner - Nurse Practitioner 5698029163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians

Practice addresses (Care Compare)

3825 Eubank Blvd NE
Suite a
Albuquerque, NM 87111-3559
Phone (800) 640-3451

Merit-based Incentive Payment System (MIPS)

Final score
69.27 of 100Reported as group
Quality
24.16
Promoting interoperability
100
Improvement activities
40
Cost
73.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Nov 12, 2018 Accepting new patients
Spencer J Hardenbrook MD PC CurrentSince Mar 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 12, 2018 Accepting new patients
Family Medicine PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575

3825 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 292-8575

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: halter125884@direct.phs.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1396210696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 LEXINGTON AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121506",
            "telephone_number": "505-259-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113575",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Harper Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093587",
            "country_code": "US",
            "telephone_number": "505-823-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTER",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.