New Mexico Specialty Medical Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC

Practice address

3200 La Orilla Rd NW Ste D3
Albuquerque, NM 87120-2742

Phone

(505) 873-2064

Fax

(877) 335-6410

NPI assigned

Apr 19, 2017

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debra Michelle Shelby, ARNPNPI 1245306026

Title

Owner

Phone

(772) 708-6776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Michelle Shelby, PHD, DNP, ARNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1245306026
  Medicare reassignment NPD Authorized official
• Mary Louise Blankenship, RN, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tigard, OR
  • NPI 1356358477

  NM

  Medicare reassignment NPD
• Janna Rorebeck, APRN-CNP

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1275045700
  NPD
• Angela Quinn

  • Family Nurse Practitioner
  • Longview, WA
  • NPI 1174881635
  NPD

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1073047825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 SNOWY OWL WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473416",
            "telephone_number": "772-708-6776",
            "fax_number": "888-731-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LA ORILLA RD NW STE D3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202742",
            "telephone_number": "505-873-2064",
            "fax_number": "877-335-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-708-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Mexico Ride Inc
• New Mexico School for the Blind and Visually Impaired Early Childhood
• New Mexico Solutions
• New Mexico Solutions
• New Mexico Sonographics Inc
• New Mexico Speech Therapy LLC (New Mexico Speech Therapy)
• New Mexico Surgical Associates, PA
• New Mexico Surgicenter Limited Partnership
• New Mexico Therapeutic Specialists LLC
• New Mexico Trauma Recovery Center for Community Violence

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, 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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.