Individual provider Active NPI

Heather Sue Bangerter, APRN-CNP

  • Family Nurse Practitioner
  • Del Rio, TX
National Provider Identifier
1992134829
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1074929 Issued in TX
Practice address
2209 N Bedell Ave
Del Rio, TX 78840-8007
Phone
(830) 775-1272
Fax
(855) 217-1086
NPI assigned
Nov 1, 2013
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1074929 TX Primary

Addresses

Primary practice location

2209 N Bedell Ave
Del Rio, TX 78840-8007

Mailing address

PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917

Other practice location 1

119 E Academy St
Del Rio, TX 78840-6072
Phone (830) 422-3305

Other identifiers 3

IdentifierTypeStateIssuer
1074929OtherTXTEXAS BOARD OF NURSING
63891OtherTXTEXAS BOARD OF NURSING
F0516679OtherTXAMERICAN ACADEMY OF NURSE PRACTITIONERS - CERTIFICATION BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220810002381 TX Practitioner - Nurse Practitioner 7911380860 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1074929TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Centers Family CurrentSince Jul 7, 2022 Accepting new patients
United Medical Centers Family Medicine CurrentSince Jul 7, 2022 Accepting new patients
United Medical Centers Family Medicine Past Accepting new patients

Locations

119 E Academy St
Del Rio, TX 78840
Phone (830) 422-3305

2209 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-8543

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

Interoperability endpoints

  • Direct secure messaging: heather.bangerter.p1@direct.umchealth.nextgenshare.com

Organizations & group practices 3

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1992134829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408007",
            "telephone_number": "830-775-1272",
            "fax_number": "855-217-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Academy St",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788406072",
            "country_code": "US",
            "telephone_number": "830-422-3305",
            "fax_number": "855-458-3317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGERTER",
        "first_name": "HEATHER",
        "middle_name": "SUE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1074929",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "63891",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS - CERTIFICATION BOARD",
            "identifier": "F0516679",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.