Individual provider Active NPI

Darina Linnik, PA-C

  • Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1043795909
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2018-0065 Issued in NM
Practice address
1631 Hospital Dr Ste 240
Santa Fe, NM 87505-7691
Phone
(505) 913-3975
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA2018-0065 NM Primary

Addresses

Primary practice location

1631 Hospital Dr Ste 240
Santa Fe, NM 87505-7691

Mailing address

1200 San Luis St
Bernalillo, NM 87004-5579
Phone (505) 401-0537

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
I20190204002150 NM Practitioner - Physician Assistant 9931446614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232

445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

465 Saint Michaels Dr
Suite 110
Santa Fe, NM 87505-7670
Phone (505) 982-3534

465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital Single Specialty CurrentSince Dec 16, 2018 Accepting new patients
St Vincent Hospital Single Specialty CurrentSince Dec 16, 2018 Accepting new patients
St Vincent Hospital Single Specialty Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

465 Saint Michaels Dr
Ste 110
Santa Fe, NM 87505
Phone (505) 946-3180

1631 Hospital Dr
Ste 240
Santa Fe, NM 87505
Phone (505) 913-3975

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-5287

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

1631 Hospital Dr
Ste 100
Santa Fe, NM 87505
Phone (505) 955-8420

Organizations & group practices 5

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1043795909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SAN LUIS ST",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045579",
            "telephone_number": "505-401-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 HOSPITAL DR STE 240",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057691",
            "telephone_number": "505-913-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNIK",
        "first_name": "DARINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2018-0065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.