HEATHER NICOLE DESHAZO ACNPC-AG
NPI 1629807854
Nurse Practitioner - Acute Care in Monroe, LA

Active since July 27, 2024PECOS Enrolled
309 JACKSON ST, MONROE, LA 71201(318) 966-4000 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2024, Aug 2, 2024, Jul 27, 2024 (3 updates tracked since 2024).

About Heather Nicole Deshazo Acnpc-ag NPPES

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

HEATHER NICOLE DESHAZO ACNPC-AG (NPI 1629807854) is an individual acute care provider in Monroe, Louisiana, licensed in Louisiana (236897) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629807854
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameHEATHER NICOLE DESHAZOCredential: ACNPC-AG
Location Address309 JACKSON STMonroe, LA 71201-7407
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (318) 966-4541 · Fax (225) 765-9196
Sole ProprietorNo
Enumeration DateJuly 27, 2024
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1629807854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in LA · 236897
309 JACKSON ST, Monroe, LA 71201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Nicole Deshazo Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Heather Deshazo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
312 GRAMMONT ST STE 411
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 222 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Internal Medicine
309 JACKSON ST
MONROE, LA 71201
Nurse Practitioner (Family)
309 JACKSON ST
MONROE, LA 71201
Rehabilitation Unit
309 JACKSON ST
MONROE, LA 71201
Student in an Organized Health Care Education/Training Program
309 JACKSON ST
MONROE, LA 71201
Family Medicine (Hospice and Palliative Medicine)
309 JACKSON ST
MONROE, LA 71201
Student in an Organized Health Care Education/Training Program
309 JACKSON ST
MONROE, LA 71201
Internal Medicine (Pulmonary Disease)
309 JACKSON ST
MONROE, LA 71201
Nurse Practitioner (Neonatal)
309 JACKSON ST
MONROE, LA 71201

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 Deshazo's NPI number?

The NPI number for Heather Deshazo is 1629807854. It was assigned to this individual provider in the NPPES registry on July 27, 2024.

Where is Heather Deshazo located?

Heather Deshazo practices at 309 Jackson St, Monroe, LA 71201. The listed phone number is (318) 966-4000.

What is Heather Deshazo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Heather Deshazo enrolled in Medicare?

Yes. Heather Deshazo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Deshazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Deshazo reassigns Medicare benefits to St Francis Medical Group LLC (Monroe, LA). The 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 Heather Deshazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Deshazo accept?

Health plans from HMO Louisiana list Heather Deshazo 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.

When was this NPI record last updated?

The NPPES record for Heather Deshazo was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.