Individual provider Active NPI

Edna R Zapata, CNP

  • Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1003400680
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62076 Issued in NM
Practice address
2000 W 21St St Ste A1
Clovis, NM 88101-4092
Phone
(575) 762-8055
Fax
(575) 723-3351
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 62076 NM Primary

Addresses

Primary practice location

2000 W 21St St Ste A1
Clovis, NM 88101-4092

Mailing address

2000 W 21St St Ste A1
Clovis, NM 88101-4092
Phone (575) 762-8055

Other identifiers 2

IdentifierTypeStateIssuer
20200132042OtherNMANCC
62076OtherNMAPRN-CNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210408001701 NM Practitioner - Nurse Practitioner 2567870652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roosevelt County Special Hospital DistrictGroup PAC ID 4082526660, 39 clinicians

Practice addresses (Care Compare)

233 Fairway Ter N
Suite B
Clovis, NM 88101-3060
Phone (575) 762-7779

Hospital & facility affiliations

  • Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
62076NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roosevelt County Special Hospital District CurrentSince Jul 14, 2022 Accepting new patients
Roosevelt County Special Hospital District CurrentSince Jul 14, 2022 Accepting new patients
Roosevelt County Special Hospital District Past Accepting new patients

Locations

233 Fairway Ter N
Ste B
Clovis, NM 88101
Phone (575) 762-7779

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

Interoperability endpoints

  • Direct secure messaging: ednazapata@rghnm.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1003400680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST STE A1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014092",
            "telephone_number": "575-762-8055",
            "fax_number": "575-763-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST STE A1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014092",
            "telephone_number": "575-762-8055",
            "fax_number": "575-723-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "EDNA",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "62076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "20200132042",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "62076",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.