HEATHER ELIZABETH BEAVERS (NP) – Family Nurse Practitioner, NPI 1003445644

HEATHER ELIZABETH BEAVERS (NP) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP143188 (TX). The NPI Number for HEATHER ELIZABETH BEAVERS (NP) is 1003445644

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER ELIZABETH BEAVERS (NP)
NPI
1003445644
Phone
(210) 595-1019
Address
2520 BROADWAY ST STE 100
Enumeration Date
6 April 2020
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2105461480
Graduation Year
2019 (7 years ago)
PAC ID
9830639376
Group Practice PAC ID
3274061783
Professional Enrollment ID
I20240910004971
Address ID
TX782492094SA4680XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HEATHER ELIZABETH BEAVERS (NP)

  • 2520 BROADWAY ST STE 100

    SAN ANTONIO, TX 782151148

    Phone: (210) 595-1019

    Type: Mailing

  • 4301 GRAND AVENUE PKWY APT 2701

    AUSTIN, TX 787280030

    Phone:

    Type: Mailing

  • 230 DEER RIDGE DR

    ROUND ROCK, TX 786815515

    Phone: (361) 445-9852

    Type: Location

  • 5656 BEE CAVES RD STE E200

    WEST LAKE HILLS, TX 787465035

    Phone: (512) 327-8700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240910004971INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274061783View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Interventional Pain Management, Physical Medicine And RehabilitationTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Interventional Pain Management, AnesthesiologyTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for HEATHER ELIZABETH BEAVERS (NP)?
HEATHER ELIZABETH BEAVERS (NP) — NPI 1003445644 — is the standard way to identify this listing.
Does the file indicate HEATHER ELIZABETH BEAVERS (NP) is practicing under active NPI?
Directory data currently reports HEATHER ELIZABETH BEAVERS (NP) as active.
What is HEATHER ELIZABETH BEAVERS (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for HEATHER ELIZABETH BEAVERS (NP) here. Clinical services aligned with this taxonomy classification.
Does HEATHER ELIZABETH BEAVERS (NP) list a practice location?
Patients near San Antonio, Texas may find HEATHER ELIZABETH BEAVERS (NP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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