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

Q: 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.

Q: What is Heather Deshazo's specialty?

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

Q: 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 20 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.

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: September 13, 2026.

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

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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

Phone(318) 966-4000

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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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.

AMANDA RACHELLE SCHORR DO

Internal Medicine