Individual provider Active NPI

Lynn Kimmel, NP

  • Acute Care Nurse Practitioner
  • Sunland Park, NM
National Provider Identifier
1073167615
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
API142507 Issued in TX
Practice address
1290 McNutt Rd Ste C
Sunland Park, NM 88063-9642
Phone
(575) 249-3889
Fax
(575) 249-3899
NPI assigned
Jul 31, 2019
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142507 TX
Acute Care Nurse Practitioner 363LA2100X API142507 TX Primary
Gerontology Nurse Practitioner 363LG0600X API142507 TX

Addresses

Primary practice location

1290 McNutt Rd Ste C
Sunland Park, NM 88063-9642

Mailing address

93 Northwind Dr
El Paso, TX 79912-3732
Phone (786) 768-8764

Other practice location 1

10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (915) 595-9000

Other practice location 2

4305 N Mesa St Ste A
El Paso, TX 79902-1124
Phone (915) 532-2477

Other names 1

  • Lynn Cubela Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynnratto@hcahealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200421000517 TX Practitioner - Nurse Practitioner 9638509326 Reassigns benefits to 2 organizations
I20200827003895 NM Practitioner - Nurse Practitioner 9638509326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274

2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
API142507TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Crosses Regional Hospital LLC CurrentSince Nov 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Northwest Hospital Medicine Physicians LLC Nurse Practitioner CurrentSince Dec 11, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
El Paso Pulmonary Association PastSince Apr 16, 2020 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1073167615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 NORTHWIND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123732",
            "telephone_number": "786-768-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 MCNUTT RD STE C",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639642",
            "telephone_number": "575-249-3889",
            "fax_number": "575-249-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Gateway Blvd W",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257701",
            "country_code": "US",
            "telephone_number": "915-595-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4305 N Mesa St Ste A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021124",
            "country_code": "US",
            "telephone_number": "915-532-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142507",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "API142507",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "API142507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynnratto@hcahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "HCA Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10301 Gateway Blvd W",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799257701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "CUBELA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunland Park, NM

Sources for this page

Verify at the official NPI Registry.