1. Home
  2. Directory
  3. Texas
  4. El Paso
  5. Emergency Medicine
  6. NPI Profile

HEATHER STAR KRAUSE MD
NPI 1114493475
Emergency Medicine in El Paso, TX

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-8000 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2019, Oct 15, 2018 (2 updates tracked since 2018).

About Heather Star Krause Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER STAR KRAUSE MD (NPI 1114493475) is an individual emergency medicine provider in El Paso, Texas, licensed in New Mexico (MD2021-1143) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of George Washington University School Of Medicine (2022).

NPPES Registry Identity

NPI1114493475
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameHEATHER STAR KRAUSECredential: MD
Location Address4801 ALBERTA AVEEl Paso, TX 79905
Mailing Address4801 Alberta AveEl Paso, TX 79905-2707
Phone(915) 215-8000
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2022
Enumeration DateOctober 15, 2018
Last NPPES UpdateMarch 17, 20222 updates tracked since enumeration
NPPES CertifiedMarch 17, 2022
✔ NPI 1114493475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2021-1143
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License P10441 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4801 ALBERTA AVE, El Paso, TX 79905
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Star Krause Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799165197
PECOS Enrollment IDI20220701000617
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
146 services138 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
94 services92 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services26 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
DR. AMRO ALI YASSIN-AWAD MD
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4625
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Krause's NPI number?

The NPI number for Heather Krause is 1114493475. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Heather Krause located?

Heather Krause practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-8000.

What is Heather Krause's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Heather Krause enrolled in Medicare?

Yes. Heather Krause is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Krause accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Heather Krause as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Krause affiliated with any hospitals?

According to CMS data, Heather Krause is affiliated with Presbyterian Espanola Hospital, Los Alamos Medical Center and Holy Cross Hospital A Div Of Taos Health Systems.

When was this NPI record last updated?

The NPPES record for Heather Krause was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.