Individual provider Active NPI

Mailin Isabel Quinones Jimenez, APRN

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1013622836
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71568 Issued in NM
Practice address
2420 W Pierce St Ste 101
Carlsbad, NM 88220-3517
Phone
(575) 628-0107
NPI assigned
Jan 16, 2023
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11023307 FL
Family Nurse Practitioner 363LF0000X 71568 NM Primary
Family Medicine Physician 207Q00000X 11023307 FL

Addresses

Primary practice location

2420 W Pierce St Ste 101
Carlsbad, NM 88220-3517

Mailing address

203 Poplar St
Carlsbad, NM 88220-6332
Phone (786) 501-3043

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
I20230331000459 NM Practitioner - Nurse Practitioner 0345615563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

2420 W Pierce St
Carlsbad, NM 88220-3517

2420 W Pierce St
Carlsbad, NM 88220-3518

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (575) 885-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023307FLMDFamily Medicine Physician
71568NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leonel P Limonte MD Inc CurrentSince Jun 3, 2025 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

2420 W Pierce St
Ste 101
Carlsbad, NM 88220
Phone (575) 234-1666

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

Interoperability endpoints

  • Direct secure messaging: mailin.quinones-jimenez.1@1739.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1013622836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 POPLAR ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206332",
            "telephone_number": "786-501-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST STE 101",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203517",
            "telephone_number": "575-628-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES JIMENEZ",
        "first_name": "MAILIN",
        "middle_name": "ISABEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023307",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "71568",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11023307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.