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LAUREN D HECKETHORN CNP
NPI 1437649423
Nurse Practitioner in Rio Rancho, NM

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
2400 UNSER BLVD SE, RIO RANCHO, NM 87124(505) 253-6300(316) 265-4480 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2023, Mar 23, 2021, Sep 5, 2019 and 1 more (4 updates tracked since 2018).

About Lauren D Heckethorn Cnp NPPES

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

LAUREN D HECKETHORN CNP (NPI 1437649423) is an individual nurse practitioner in Rio Rancho, New Mexico, licensed in New Mexico (76045) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437649423
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN D HECKETHORNCredential: CNP
Location Address2400 UNSER BLVD SERio Rancho, NM 87124-4740
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 253-6300
Fax(316) 265-4480
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateNovember 22, 20234 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1437649423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · 76045
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 53-78202 (KS)
2400 UNSER BLVD SE, Rio Rancho, NM 87124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren D Heckethorn Cnp 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 ID3779833454
PECOS Enrollment IDI20231114000938
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lauren Heckethorn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
7.6 mi
Internal Medicine
5901 HARPER DR NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1104802354 (505) 823-8556
Aziz R Maksoud MD PA
555 mi
Cardiovascular Disease
9350 E 35TH ST N, STE 101
Wichita, KS 67226
  • Reassigned Medicare billing, Kansas enrollment
  • 19 clinicians in this Medicare group
NPI 1861613598 (316) 265-1308
Christian A. Hourani, MD, PA
555 mi
Cardiovascular Disease
9350 E 35TH ST N STE 101
Wichita, KS 67226
  • Reassigned Medicare billing, Kansas enrollment
  • 19 clinicians in this Medicare group
NPI 1710472162 (316) 265-1308
Layne M Reusser MD PA
555 mi
Cardiovascular Disease
9350 E 35TH ST N, STE101
Wichita, KS 67226
  • Reassigned Medicare billing, Kansas enrollment
  • 19 clinicians in this Medicare group
NPI 1598908402 (316) 265-1308

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

GRETCHEN ANN WILSON MSOTRL
Occupational Therapist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 401-4235
SEUNGHWAN BYUN MD
Hospitalist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-7878
DR. AZHARUDDIN MOHAMMED AKBAR SOUDAGAR M.D.
Internal Medicine
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-1790
ANERI PATEL M.D.
Family Medicine
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (347) 647-4873
SYDNEY ROSE GEORGE PA-C
Physician Assistant
2400 UNSER BLVD SE, STE 18200
RIO RANCHO, NM 87124
Sandoval County (505) 563-6565
RAQUEL VALVERDE CPSW
Peer Specialist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 630-5769
DR. DOMINIC POMO DNAP, CRNA
Nurse Anesthetist, Certified Registered
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-7878
ERIN MARIE GIESE RN
Registered Nurse (Medical-Surgical)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-2549

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 Lauren Heckethorn's NPI number?

The NPI number for Lauren Heckethorn is 1437649423. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Lauren Heckethorn located?

Lauren Heckethorn practices at 2400 Unser Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 253-6300.

What is Lauren Heckethorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Heckethorn enrolled in Medicare?

Yes. Lauren Heckethorn 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.

Which organizations bill Medicare for Lauren Heckethorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Heckethorn reassigns Medicare benefits to 4 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Aziz R Maksoud MD PA (Wichita, KS), Christian A. Hourani, MD, PA (Wichita, KS) and Layne M Reusser MD PA (Wichita, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Heckethorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Heckethorn accept?

Health plans from UnitedHealthcare list Lauren Heckethorn 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 Lauren Heckethorn affiliated with any hospitals?

According to CMS data, Lauren Heckethorn is affiliated with San Juan Regional Medical Center Inc and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Heckethorn was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.