Relindis Mana Akwanga, CNP
Individual provider Active NPI Family Nurse Practitioner · Gallup, NM
NPI 1093332975 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1093332975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 62749 (NM)
- Practice address
- 610 N Fifth St
Gallup, NM 87301-5306 - Phone
- (505) 863-3120
- Fax
- (505) 863-2961
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Medical Services
Practice addresses (Care Compare)
1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565
Hospital & facility affiliations
- Cibola General Hospital
- Rehoboth McKinley Christian Health Care Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427000241 | NM | Practitioner - Nurse Practitioner | 7911315288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62749 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients |
Locations
610 N Fifth St
Gallup, NM 87301
Phone (505) 863-3120
1055 Rico St
Gallup, NM 87301
Phone (505) 721-2681
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Interoperability endpoints
- relindis.akwanga.p1@direct.pmsnm.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 62749 | NM | Yes |
Addresses
Primary practice location
610 N Fifth St
Gallup, NM 87301-5306
Mailing address
610 N Fifth St
Gallup, NM 87301-5306
Phone (505) 863-3120
Other names
- Relindis Mana Teba
Other providers in Gallup, NM
- Calandra Ahasteen
- Jamesita Lynn Ahasteen
- Don Ahrens
- Yvonne Ahumada
- Edwin Akwanga
- Hadith Alatorre
- Margot Albert
- Matilda Albidrez
- Albuquerque
- Donald Alexander
All providers in Gallup, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.