Individual provider Active NPI

Lauren D Heckethorn, CNP

  • Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1437649423
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76045 Issued in NM
Practice address
2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Phone
(505) 253-6300
Fax
(316) 265-4480
NPI assigned
May 15, 2018
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76045 NM Primary
Gerontology Nurse Practitioner 363LG0600X 53-78202 KS

Addresses

Primary practice location

2400 Unser Blvd SE
Rio Rancho, NM 87124-4740

Mailing address

PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.cardiovascularconsultantsofks@ccme.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NM2 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
I20180829003416 KS Practitioner - Nurse Practitioner 3779833454 Reassigns benefits to 3 organizations
I20231114000938 NM Practitioner - Nurse Practitioner 3779833454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

201 Cedar St SE
Suite 7600
Albuquerque, NM 87106-4921
Phone (505) 563-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76045NMMDNurse Practitioner
53-78202KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Dec 19, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 19, 2023 Accepting new patients
Layne M Reusser MD PA CurrentSince Aug 2, 2018 Accepting new patients
Christian a. Hourani, MD, PA CurrentSince Nov 10, 2018 Accepting new patients
Aziz R Maksoud MD PA CurrentSince Aug 2, 2018 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

9350 E 35th St N
Ste 101
Wichita, KS 67226
Phone (316) 265-1308

201 Cedar St SE
Ste 7600
Albuquerque, NM 87106
Phone (505) 563-2500

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

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

2400 Unser Blvd SE
Ste 18300
Rio Rancho, NM 87124
Phone (505) 253-6300

Interoperability endpoints

  • Direct secure messaging: direct.cardiovascularconsultantsofks@ccme.com
  • Direct secure messaging: lheckethorn242447@direct.phs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1437649423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244740",
            "telephone_number": "505-253-6300",
            "fax_number": "316-265-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKETHORN",
        "first_name": "LAUREN",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-11-22",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "76045",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-78202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.cardiovascularconsultantsofks@ccme.com",
            "affiliation": "N",
            "address_1": "9350 E 35th St N Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.