Organization Active NPI

Heartland Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1831896323
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEARTLAND MENTAL HEALTH SERVICES
Practice address
4441 W Vervain Ave
Queen Creek, AZ 85142-1376
Phone
(515) 664-4875
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Rebecca Nabosa, PMHNPNPI 1558078220
Title
Owner
Phone
(515) 664-4875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4441 W Vervain Ave
Queen Creek, AZ 85142-1376

Mailing address

4441 W Vervain Ave
Queen Creek, AZ 85144-1376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613003097 AZ Part B Supplier - Clinic/Group Practice 7113384702 Receives reassigned benefits from 2 practitioners
Practice locations: Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

21168 E Ocotillo Rd
San Tan Vly, AZ 85142
Phone (520) 677-8025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1831896323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 W VERVAIN AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851441376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 W VERVAIN AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421376",
            "telephone_number": "515-664-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "NABOSA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-664-4875",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.