Individual provider Active NPI

Kelly Jean Hoock, MSN, FNP-C

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1013660778
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66854 Issued in NM
Practice address
4200 Meadowlark LN SE Ste 2
Rio Rancho, NM 87124-1050
Phone
(505) 994-3256
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 66854 NM Primary

Addresses

Primary practice location

4200 Meadowlark LN SE Ste 2
Rio Rancho, NM 87124-1050

Mailing address

4200 Meadowlark LN SE Ste 2
Rio Rancho, NM 87124-1050
Phone (505) 994-3256

Other identifiers 1

IdentifierTypeStateIssuer
07487088MedicaidNM

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
I20220312000236 NM Practitioner - Nurse Practitioner 5698160562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zia Therapy and Pain Relief IncGroup PAC ID 9133562416, 7 clinicians

Practice addresses (Care Compare)

1520 Deborah Rd SE
Suite K
Rio Rancho, NM 87124-1030
Phone (978) 618-7500

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
66854NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Zia Therapy and Pain Relief Inc CurrentSince Jan 1, 2026 Accepting new patients
Sandia View Family Medicine, PC Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4420 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 727-6300

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

1520 Deborah Rd SE
Ste K
Rio Rancho, NM 87124
Phone (505) 589-8840

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1013660778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE STE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-994-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE STE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-994-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOCK",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "66854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07487088",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.