Caley Nicole Denevers, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53418 Issued in NM

Practice address

611 National Ave
Las Vegas, NM 87701-4243

Phone

(505) 426-0700

Fax

(505) 426-0702

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Belen, NM, CCN 327123

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caley.denevers.1@27050.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3690/brand/1/csg/1/fhir/r4

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.

• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  Medicare reassignment Care Compare group NPD
• Jthink, LLC

  dba Meadow City Family Clinic

  • Family Nurse Practitioner
  • Las Vegas, NM
  • NPI 1023395001
  Medicare reassignment NPD
• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1215580832
  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Belen, NM
  • NPI 1336117621
  Care Compare affiliation

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1093332587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014243",
            "telephone_number": "505-426-0700",
            "fax_number": "505-426-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014243",
            "telephone_number": "505-426-0700",
            "fax_number": "505-426-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEVERS",
        "first_name": "CALEY",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSING",
            "identifier": "53418",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David H Elliott, M.D.
• Douglas Frederick Davis, PH.D.
• Wendy Davis, MD
• Sandra Deisler
• Shannon Delarosbil, BMS
• Eric Depopas, M.D.
• Damien Derego, LMHC
• Lot Di Benedetto, DPT
• Diamond Care Vida Encantada, LLC (Vidan Encantada Nursing and Rehab Center)
• Dianachavez, LLC

• Family Nurse Practitioner in Las Vegas, NM
• Providers in Las Vegas, 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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.