Individual provider Active NPI

Maria Elena McMahon, CFNP

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1073574067
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R42162 Issued in NM
Practice address
1532 Cerrillos Rd
Santa Fe, NM 87505-3512
Phone
(505) 982-4425
Fax
(505) 982-1263
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R42162 NM Primary

Addresses

Primary practice location

1532 Cerrillos Rd
Santa Fe, NM 87505-3512

Mailing address

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Other practice location 1

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Other practice location 2

2145 Caja Del Oro Grant Rd
Santa Fe, NM 87507-3279
Phone (505) 982-4425

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
I20060303000561 NM Practitioner - Nurse Practitioner 3274549381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R42162NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Medical Center Family Medicine Past Accepting new patients

Organizations & group practices 2

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 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1073574067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Alto St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012406",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 Caja Del Oro Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073279",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "R42162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.