Individual provider Active NPI

Tamara Wostal

  • Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1093204315
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
60606 Issued in NM
Practice address
4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone
(505) 772-1007
NPI assigned
May 2, 2018
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 60606 NM Primary

Addresses

Primary practice location

4801 Beckner Rd
Santa Fe, NM 87507-3641

Mailing address

PO Box 26666
Albuquerque, NM 87125-6666

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
I20201008003578 NM Practitioner - Nurse Practitioner 4284981085 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newmexidoc PAGroup PAC ID 6204150659, 13 clinicians

Practice addresses (Care Compare)

4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone (505) 772-1234

831 S Saint Francis Dr
Railyard Urgent Care
Santa Fe, NM 87505-3027
Phone (505) 501-7791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 4, 2020 Accepting new patients
Newmexidoc, PA. CurrentSince Jun 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Nurse Practitioner CurrentSince Apr 22, 2023 Accepting new patients
Southwest Emergency Medical Associates of NM PC Nurse Practitioner CurrentSince Jul 17, 2023 Accepting new patients
Fedko Emergency Physicians New Mexico LLC CurrentSince Jun 1, 2024 Accepting new patients
Cibola General Hospital Corporation CurrentSince May 7, 2024 Accepting new patients

Locations

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

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

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

Organizations & group practices 7

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.

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1093204315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073641",
            "telephone_number": "505-772-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSTAL",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "60606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.