Individual provider Active NPI

Wasan Cartwright Jr., FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1073123063
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60994 Issued in NM
Practice address
7005 Prospect PL NE
Albuquerque, NM 87110-4311
Phone
(505) 361-2634
Fax
(505) 503-1277
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60994 NM Primary

Addresses

Primary practice location

7005 Prospect PL NE
Albuquerque, NM 87110-4311

Mailing address

7005 Prospect PL NE
Albuquerque, NM 87110-4311
Phone (505) 361-2634

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
I20211206002192 NM Practitioner - Nurse Practitioner 3779973748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breatheamerica Albuquerque IncGroup PAC ID 4789711912, 6 clinicians

Practice addresses (Care Compare)

4901 Lang Ave NE
Suite 100
Albuquerque, NM 87109-4597
Phone (505) 883-2574

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Breatheamerica Albuquerque, Inc. CurrentSince May 5, 2023 Accepting new patients

Locations

4901 Lang Ave NE
Ste 100
Albuquerque, NM 87109
Phone (505) 883-2574

5929 Balcones Dr
Ste 300
Austin, TX 78731

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1073123063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104311",
            "telephone_number": "505-361-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104311",
            "telephone_number": "505-361-2634",
            "fax_number": "505-503-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "WASAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.