Debra Vaccaro, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173928 Issued in VA

Practice address

3500 Comanche Rd NE Ste C
Albuquerque, NM 87107-4546

Phone

(505) 998-7200

Fax

(505) 998-7220

NPI assigned

Sep 10, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NM, CO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maimonides Sleep Arts and SciencesGroup PAC ID 2860565439, 6 clinicians

Telerecs LLCGroup PAC ID 6608204219, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1684/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maimonides Sleep Arts & Sciences

  • Sleep Disorder Diagnostic Clinic/Center
  • Albuquerque, NM
  • NPI 1881798981
  Medicare reassignment Care Compare group NPD
• Telerecs, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Colorado Springs, CO
  • NPI 1013557693
  Medicare reassignment Care Compare group NPD
• Gershon Pain Specialists, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
  • NPI 1871710798
  Medicare reassignment NPD
• Gershon Pain Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Virginia Beach, VA
  • NPI 1760755847
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1003363722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "STE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-259-6770",
            "fax_number": "757-259-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-998-7200",
            "fax_number": "505-998-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4374 New Town Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882865",
            "country_code": "US",
            "telephone_number": "757-259-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "DEBRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-10",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V C Enterprises Inc
• V.a.C, LLC
• VA Hospital
• VA Hospital Pharmacy
• VA Medical Center
• Suzanne Vaccaro
• Vaccines for Health
• Joni Vachon, DC
• Cherie Vachowiak, M.S., CF-SLP
• Mahmood Reza Vaezzadeh, M.D.

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.