Individual provider Active NPI

Jose Luis Rosales, F.N.P, D.N.P

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1114118221
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP00942 Issued in NM
Practice address
4371 E Lohman Ave
Las Cruces, NM 88011-8443
Phone
(575) 532-8900
Fax
(575) 532-8910
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 638070 TX
Family Nurse Practitioner 363LF0000X CNP00942 NM Primary

Addresses

Primary practice location

4371 E Lohman Ave
Las Cruces, NM 88011-8443

Mailing address

4371 E Lohman Ave
Las Cruces, NM 88011-8443
Phone (575) 532-8900

Other identifiers 1

IdentifierTypeStateIssuer
42487366MedicaidNM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jose.rosales.1@1928.direct.athenahealth.com
Direct Messaging Address jose.rosales.1@1928.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
I20080403000243 NM Practitioner - Nurse Practitioner 9234216037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Las Cruces, NM, CCN 327133
  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP00942NMMDFamily Nurse Practitioner
638070TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Jan 1, 2018 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

4351 E Lohman Ave
Ste 301
Las Cruces, NM 88011
Phone (575) 532-8900

4351 E Lohman Ave
Ste 201
Las Cruces, NM 88011
Phone (575) 522-2233

2435 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 323-1315

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4371 E Lohman Ave
Las Cruces, NM 88011
Phone (575) 323-3938

Interoperability endpoints

  • Direct secure messaging: j.rosales@rgmgl-nm.direct.office.nextgen.com
  • Direct secure messaging: jose.rosales.1@1928.direct.athenahealth.com

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 3

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1114118221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118443",
            "telephone_number": "575-532-8900",
            "fax_number": "575-532-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118443",
            "telephone_number": "575-532-8900",
            "fax_number": "575-532-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "F.N.P, D.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "638070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42487366",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.rosales.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4371 E Lohman Ave",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.rosales.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4371 E Lohman Ave",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.