Elektra Badash, CFNP
Individual provider Active NPI Family Nurse Practitioner · El Rito, NM
NPI 1053920587 · NPPES record last updated Jul 30, 2020
Key facts
- NPI
- 1053920587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 60904 (NM)
- Practice address
- Sr 571 Building #28
El Rito, NM 87530 - Phone
- (575) 581-4728
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
538 N Paseo de Onate
Espanola, NM 87532-2618
PO Box
Suite 237
El Rito, NM 87530
PO Box
Suite 237
El Rito, NM 87530-0237
Sr 571 Building
Suite 28
El Rito, NM 87530
Hospital & facility affiliations
- Mountain Home Health Care, Inc.
- Holy Cross Hospital a Div of Taos Health Systems
- Presbyterian Espanola Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200811003371 | NM | Practitioner - Nurse Practitioner | 9133545981 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60904 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Current |
Accepting new patients | |
| El Centro Family Health | Current |
Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Locations
111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218
1331 Gusdorf Rd
Taos, NM 87571
Phone (505) 758-9412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60904 | NM | Yes |
Addresses
Primary practice location
Sr 571 Building #28
El Rito, NM 87530
Mailing address
PO Box 237
El Rito, NM 87530-0237
Phone (575) 581-4728
Other providers in El Rito, NM
- Jeanne M Alvarez
- Deborah Joyce Arraj
- Joseph Salvatore Balsamo
- Shannon Kelly Blair
- Samantha Brenner
- Jennifer Lynn Castaneda-Lovato
- Elena Colas
All providers in El Rito, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.