Individual provider Active NPI

Bethany Michelle Heinrich, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1396477576
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.00998715-NP Issued in CO
Practice address
3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053
Phone
(719) 635-3764
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1625448 CO
Family Nurse Practitioner 363LF0000X APN.00998715-NP CO Primary

Addresses

Primary practice location

3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053

Mailing address

6153 Radiant Sky LN
Colorado Springs, CO 80924-2093
Phone (719) 243-9802

Other practice location 1

3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907
Phone (719) 694-3595

Other practice location 2

6153 Radiant Sky Ln
Colorado Springs, CO 80924-2093
Phone (719) 243-9802

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL Bethany_924@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240502001785 MI Practitioner - Nurse Practitioner 8921453408 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katranji Reconstructive Surgery Institute, PLLCGroup PAC ID 7719052414, 6 clinicians

Practice addresses (Care Compare)

2111 Merritt Rd
Suite 202
East Lansing, MI 48823-6916
Phone (517) 332-4263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1625448COMDRegistered Nurse
APN.00998715-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management of Caro PC CurrentSince Apr 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. Current Accepting new patients
Marlette Regional Hospital CurrentSince Mar 1, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Mar 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

1800 W Caro Rd
Ste 12
Caro, MI 48723
Phone (248) 894-7024

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

6230 Hospital Dr
Cass City, MI 48726
Phone (989) 872-1555

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

Interoperability endpoints

  • Direct secure messaging: bethany.heinrich.1@30652.direct.athenahealth.com
  • Direct secure messaging: bheinrich181293@direct.covenanthealthcare.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 and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1396477576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6153 RADIANT SKY LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809242093",
            "telephone_number": "719-243-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S CAREFREE CIR STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-635-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 N Union Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809071907",
            "country_code": "US",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6153 Radiant Sky Ln",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809242093",
            "country_code": "US",
            "telephone_number": "719-243-9802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "BETHANY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1625448",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.00998715-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Bethany_924@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bethany_924@yahoo.com",
            "address_1": "6153 Radiant Sky Ln",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809242093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.