Clarissa Silva, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71839 Issued in NM

Practice address

1350 Jackie Rd SE Ste 101
Rio Rancho, NM 87124-1519

Phone

(505) 892-7518

Fax

(505) 796-6617

NPI assigned

Feb 6, 2023

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

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cottonwood Family Medicine LLCGroup PAC ID 8123327590, 2 clinicians

Genesis Physician Associates LLCGroup PAC ID 1456525021, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cottonwood Family Medicine LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
  • NPI 1528429438
  Medicare reassignment Care Compare group NPD
• Genesis Physician Associates LLC

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1740569763
  Medicare reassignment Care Compare group NPD
• Genesis Physician Associates LLC

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1902465263
  NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1124724646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 JACKIE RD SE STE 101",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241519",
            "telephone_number": "505-892-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 JACKIE RD SE STE 101",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241519",
            "telephone_number": "505-892-7518",
            "fax_number": "505-796-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "CLARISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "71839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamonica Shultz
• Samantha Siebert, DPT
• Hannah Siegel
• Jody Ann Sierra, PTA
• Ronald F Sills, D.D.S.
• Daniela Cristina Silva, MS, CCC-SLP
• Julia Silva
• Laura Jeanne Silva, LMT, MMT
• Marianne Michelle Silva
• Harlan Simard-Halm

• Family Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, 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 5, 2023; 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.