AMY HETHERINGTON NP
NPI 1639628001
Nurse Practitioner - Acute Care in Rancho Mirage, CA

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
84.3/100
CMS Quality Rating
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 340-3911(760) 773-1448 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Jul 27, 2022, Sep 27, 2016 (3 updates tracked since 2016).

About Amy Hetherington Np NPPES

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

AMY HETHERINGTON NP (NPI 1639628001) is an individual acute care provider in Rancho Mirage, California, licensed in California (95004923) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639628001
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMY HETHERINGTONCredential: NP
Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3202
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3202 · (760) 340-3911 · Fax (760) 773-1448
Fax(760) 773-1448
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1639628001 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 CA · 95004923
39000 BOB HOPE DR, Rancho Mirage, CA 92270

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

Amy Hetherington Np 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 ID1456617018
PECOS Enrollment IDI20171114003497
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 Amy Hetherington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
39000 BOB HOPE DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 595 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.

Areas of Expertise CMS Part B claims 2

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.
158 services157 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

84.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.95
Promoting Interoperability100
Improvement Activities40
Cost58.71

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.

Social Worker (Clinical)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Radiology (Diagnostic Radiology)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Anesthesiology
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Thoracic Surgery (Cardiothoracic Vascular Surgery)
39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270
Internal Medicine (Pulmonary Disease)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Nurse Practitioner (Family)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Physical Therapist
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Physician Assistant
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

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 Amy Hetherington's NPI number?

The NPI number for Amy Hetherington is 1639628001. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Amy Hetherington located?

Amy Hetherington practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-3911.

What is Amy Hetherington's specialty?

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

Is Amy Hetherington enrolled in Medicare?

Yes. Amy Hetherington 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 organization bills Medicare for Amy Hetherington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Hetherington reassigns Medicare benefits to Eisenhower Medical Center (Rancho Mirage, CA). 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 Amy Hetherington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Hetherington was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.