Leticia Medrano, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

54775 Issued in NM

Practice address

115 E 23Rd St
Roswell, NM 88201-6471

Phone

(575) 625-1292

Fax

(575) 624-4836

NPI assigned

Dec 31, 2018

Last updated

Jan 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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 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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP

Interoperability endpoints

• Direct secure messaging: lmedrano9657@ahs.direct-ci.com

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.

• Southwest Medical Associates, LLC

  dba Lovelace Medical Group

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164491072
  Medicare reassignment Care Compare group NPD
• State of New Mexico

  dba New Mexico State Veterans Home Physicians

  • Skilled Nursing Facility
  • Truth Or Consequences, NM
  • NPI 1578730230
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  NM

  Medicare reassignment NPD
• Southwest Medical Associates, LLC

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1578255253
  NPD
• State of New Mexico

  dba Department of Health Family Planning

  • Public Health or Welfare Agency
  • Santa Fe, NM
  • NPI 1134257249
  NPD
• State of New Mexico

  dba New Mexico Rehabilitation Center

  • Rehabilitation Hospital
  • Roswell, NM
  • NPI 1922094770
  NPD
• Lovelace Health System LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1306914213
  NPD (past)

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

• Lovelace Health System LLC

  dba Lovelace Regional Hospital-Roswell

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  Care Compare affiliation

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1023580073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 23RD ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016471",
            "telephone_number": "575-625-1292",
            "fax_number": "575-624-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 23RD ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016471",
            "telephone_number": "575-625-1292",
            "fax_number": "575-624-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "LETICIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Y McWhirter, BT
• Glen Allen Mears, LCSW
• Alejandra Medina
• Medisource Home Health
• Frances A Medrano
• Chelsea Marie Melendez, RN
• Grace M Sally Mellgren, M.D.
• Darla Gene Melton, NP-C
• Melvin G Anaya (Anaya Counseling & Consulting Services)
• Aracelli Mendoza

• Family Nurse Practitioner in Roswell, NM
• Providers in Roswell, 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 Jan 29, 2019; 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.