Individual provider Active NPI

Kim Hestand, CNP

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1104356963
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP03246 Issued in NM
Practice address
300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Phone
(575) 622-1411
Fax
(575) 624-5630
NPI assigned
Jun 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP03246 NM Primary

Addresses

Primary practice location

300 W Country Club Rd Ste 230
Roswell, NM 88201-5240

Mailing address

300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Phone (575) 622-1411

Other practice location 1

1107 N Main St
Roswell, NM 88201-5009
Phone (575) 622-5705

Other practice location 2

1107 N Main St
Roswell, NM 88201
Phone (575) 622-5705

Other practice location 3

1107 N Main St
Roswell, NM 88201
Phone (575) 622-5705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim.hestand.1@1610.direct.athenahealth.com

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
I20171128001942 NM Practitioner - Nurse Practitioner 1153688262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

300 W Country Club Rd
Suite 230
Roswell, NM 88201-5202
Phone (575) 622-1411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince Jan 2, 2018 Accepting new patients
Roswell Clinic Corp CurrentSince Jan 2, 2018 Accepting new patients
Roswell Family Care, LLC Family PastSince Mar 26, 2012 Accepting new patients

Locations

300 W Country Club Rd
Ste 230
Roswell, NM 88201
Phone (575) 622-1411

350 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-1841

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Interoperability endpoints

  • Direct secure messaging: kim.hestand.1@1610.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104356963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD STE 230",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015240",
            "telephone_number": "575-622-1411",
            "fax_number": "575-624-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD STE 230",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015240",
            "telephone_number": "575-622-1411",
            "fax_number": "575-624-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 N Main St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015009",
            "country_code": "US",
            "telephone_number": "575-622-5705",
            "fax_number": "575-622-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 N Main St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "88201",
            "country_code": "US",
            "telephone_number": "575-622-5705",
            "fax_number": "575-622-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 N Main St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "88201",
            "country_code": "US",
            "telephone_number": "575-622-5705",
            "fax_number": "575-622-5708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTAND",
        "first_name": "KIM",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP03246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.hestand.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "300 W Country Club Rd Ste 230",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.