Courtney Carabajal, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-56791 Issued in NM

Practice address

413 Sipapu St
Box 6952
Taos, NM 87571-6489

Phone

(575) 758-5857

Fax

(575) 758-5860

NPI assigned

Jan 31, 2013

Last updated

Oct 30, 2019By 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

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

George Washington University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diego J Gonzalez MD PCGroup PAC ID 8527324367, 4 clinicians

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

82.35

Promoting interoperability

100

Improvement activities

40

Cost

76.6

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carchuleta122885@direct.phs.org
• FHIR API: https://fhir.meditouchehr.com/api/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.

• Diego J Gonzalez MD PC

  dba New Mexico Pain Associates

  • Pain Clinic/Center
  • Albuquerque, NM
  • NPI 1518478866
  Medicare reassignment Care Compare group NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment Care Compare group NPD
• Hippocare, Inc

  dba Rio Grande Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1255784658
  Medicare reassignment NPD
• Hippocare, Inc

  dba Rio Grande Family Practice

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1528581477
  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Tri-County Community Services, Inc

  • Recovery Care Clinic/Center
  • Taos, NM
  • NPI 1912995242
  NPD (past)

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

• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1134468820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SIPAPU ST",
            "address_2": "BOX 6952",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716489",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SIPAPU ST",
            "address_2": "BOX 6952",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716489",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABAJAL",
        "first_name": "COURTNEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-56791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Cain, LMHC
• Calmar Inc. (A & R Medical Supply)
• Cynthia Campbell, SLP
• Mary Margaret Campbell, LADAC
• Amanda Joelyn Cantu
• Elena Carabajal
• Janine Mira Carasso, LMSW
• James P Cardasis, DO
• Diana Cardenas
• Marsha Carlson, LCSW/MSW

• Family Nurse Practitioner in Taos, NM
• Providers in Taos, 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 Oct 30, 2019; 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.