Simple Blessings Pediatrics & Functional Medicine, LLC
NPI 1700647310ActiveOrganization· Nurse Practitioner, Family· Conroe, TX
Nurse Practitioner, Family in Conroe, Texas, registered in NPPES in January 2024. The authorized official on file is Heather Lee Hasara, FNP-C, CPNP-PC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700647310 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2024 |
| Last updated in NPPES | Sep 24, 2025 |
| Certified by provider | Sep 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Nurse Practitioner, Family providers in Conroe
- 1285235929
- 1033048335
- 1104624345
- 1639814221
- 1558591677
- 1053223792
- 1194696237
- 1467942565
- 1457938979
- 1144717968
- 1245138445
- 1952931263