MS. HEATHER CHRISTINE COUCH FNP
NPI 1992166839
Nurse Practitioner - Primary Care in Santa Cruz, CA
About Ms. Heather Christine Couch Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. HEATHER CHRISTINE COUCH FNP (NPI 1992166839) is an individual primary care provider in Santa Cruz, California, licensed in California (95003993) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Heather Christine Couch Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Couch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Cruz, CA 95060
- Reassigned Medicare billing, California enrollment
- 37 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 95060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA CRUZ, CA 95060
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 Couch's NPI number?
The NPI number for Heather Couch is 1992166839. It was assigned to this individual provider in the NPPES registry on March 18, 2016.
Where is Heather Couch located?
Heather Couch practices at 1080 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-4100.
What is Heather Couch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Heather Couch enrolled in Medicare?
Yes. Heather Couch 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 Heather Couch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Couch reassigns Medicare benefits to County Of Santa Cruz (Santa Cruz, 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 Heather Couch'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 Heather Couch was last updated on February 19, 2025. 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.
# Ms. Heather Christine Couch, FNP · NPI 1992166839
Primary Care physician in Santa Cruz, California. Individual provider, active in the CMS NPPES registry since March 18, 2016.
## Identity
- **NPI:** 1992166839 (Entity type: Individual)
- **Enumerated:** March 18, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95003993 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1080 EMELINE AVE, Santa Cruz, CA 95060-1966
- **Phone:** (831) 454-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Santa Cruz (NPI 1578680310, Santa Cruz, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1992166839) · Data from the CMS NPPES public registry.