Active NPI
Heidi H. Rogers, DNP, FNP-C
- Family Medicine Physician
- Espanola, NM
National Provider Identifier
1528042579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R41491
- Practice address
- 2010 Industrial Park Rd
Espanola, NM 87532-3600 - Phone
- (505) 753-7218
- Fax
- (505) 753-5815
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R41491 | NM | |
| Family Medicine Physician | 207Q00000X | R41491 | NM | Primary |
Addresses
Primary practice location
2010 Industrial Park Rd
Espanola, NM 87532-3600
Mailing address
PO Box 158
El Centro Family Health - Credentialing
Espanola, NM 87532-0158
Phone (505) 753-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R41491 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grasshopper Natural Medicine | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Wagon Mound, NM
- NPI 1538324223
-
- Primary Care Nurse Practitioner
- Santa Fe, NM
- NPI 1194908277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1528042579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"address_2": "EL CENTRO FAMILY HEALTH - CREDENTIALING",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875320158",
"telephone_number": "505-753-7218",
"fax_number": "505-753-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 INDUSTRIAL PARK RD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323600",
"telephone_number": "505-753-7218",
"fax_number": "505-753-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "HEIDI",
"middle_name": "H.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R41491",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "R41491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.