Individual provider Active NPI

Herlinda Magill, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1043596067
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
68336 Issued in NM
Practice address
1990 E Lohman Ave Ste a
Las Cruces, NM 88001-3117
Phone
(575) 522-4602
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R50261 NM
Adult Health Clinical Nurse Specialist 364SA2200X CNS00195 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 68336 NM Primary

Addresses

Primary practice location

1990 E Lohman Ave Ste a
Las Cruces, NM 88001-3117

Mailing address

1990 E Lohman Ave Ste a
Las Cruces, NM 88001-3117
Phone (575) 522-4602

Other practice location 1

327 Paseo Real Dr
Chaparral, NM 88081-7921
Phone (915) 637-6155

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
I20140123000350 NM Practitioner - Certified Clinical Nurse Specialist (CNS) 3870721749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Ventana Behavioral Health, LLCGroup PAC ID 7810231750, 4 clinicians

Practice addresses (Care Compare)

1990 E Lohman Ave
Suite a
Las Cruces, NM 88001-3117
Phone (575) 522-4602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R50261NMMDRegistered Nurse

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1043596067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013117",
            "telephone_number": "575-522-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013117",
            "telephone_number": "575-522-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Paseo Real Dr",
            "address_purpose": "LOCATION",
            "city": "Chaparral",
            "state": "NM",
            "postal_code": "880817921",
            "country_code": "US",
            "telephone_number": "915-637-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "HERLINDA",
        "credential": "PMHNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R50261",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NM",
            "license": "CNS00195",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "68336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.