Individual provider Active NPI

Betti Hertzberg Ressler

  • Pediatrics Physician
  • Deming, NM
National Provider Identifier
1982817664
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016-02292 Issued in NC
Practice address
905 S 8TH St
Deming, NM 88030-4037
Phone
(575) 543-7200
Fax
(575) 543-7250
NPI assigned
May 8, 2007
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40735 SC
Pediatrics Physician 208000000X 01078837A IN
Pediatrics Physician 208000000X 2016-02292 NC Primary

Addresses

Primary practice location

905 S 8TH St
Deming, NM 88030-4037

Mailing address

1001 Blythe Blvd.
Charlotte, NC 28203

Other practice location 1

1629 Medical Arts Blvd Ste 200
Anderson, IN 46011-3454
Phone (765) 298-5439

Other practice location 2

1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866
Phone (704) 381-8840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bressler336095@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NM, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171106001000 NC Practitioner - Pediatric Medicine 2769748839 Reassigns benefits to 3 organizations
I20190918002722 NM Practitioner - Pediatric Medicine 2769748839 Reassigns benefits to 1 organization
I20210820001345 FL Practitioner - Pediatric Medicine 2769748839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01078837AINMDPediatrics Physician
2016-02292NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deming Hospital Corporation Current Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Key West Hma Physician Management LLC CurrentSince May 8, 2021 Accepting new patients
Deming Hospital Corporation CurrentSince Sep 1, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2017 Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Oct 1, 2017 Accepting new patients
Deming Hospital Corporation CurrentSince Sep 1, 2019 Accepting new patients
Key West Hma Physician Management, LLC CurrentSince May 8, 2021 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jan 9, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Oct 1, 2017 Accepting new patients

Locations

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

Interoperability endpoints

  • Direct secure messaging: bressl01@yourcarecommunity.org
  • Direct secure messaging: bressler336095@ecommunitydirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1982817664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BLYTHE BLVD.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S 8TH ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304037",
            "telephone_number": "575-543-7200",
            "fax_number": "575-543-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 Medical Arts Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113454",
            "country_code": "US",
            "telephone_number": "765-298-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Blythe Blvd",
            "address_2": "Medical Center Plaza Suite 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035866",
            "country_code": "US",
            "telephone_number": "704-381-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESSLER",
        "first_name": "BETTI",
        "middle_name": "HERTZBERG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "40735",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01078837A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-02292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bressler336095@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "1629 Medical Arts Blvd Ste 200",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460113454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.