Individual provider Active NPI

Brittany Hanlon, CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1164002275
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
63463 Issued in NM
Practice address
4100 High Resort Blvd SE
Albuquerque, NM 87124-5901
Phone
(505) 462-8520
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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 63463 NM
Nurse Practitioner 363L00000X 63463 NM Primary

Addresses

Primary practice location

4100 High Resort Blvd SE
Albuquerque, NM 87124-5901

Mailing address

PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

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
I20210512001197 NM Practitioner - Nurse Practitioner 7012326622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

4100 High Resort Blvd SE
Rio Rancho, NM 87124-5901
Phone (505) 462-8800

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63463NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince May 24, 2022 Accepting new patients
Southwest Integrative Health Center, LLC CurrentSince May 18, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 24, 2022 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

5310 Homestead Rd NE
Bldg 4
Albuquerque, NM 87110
Phone (505) 256-3648

5310 Homestead Rd NE
Bldg 400
Albuquerque, NM 87110
Phone (505) 256-3648

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1001 W Broadway
Ste D
Farmington, NM 87401
Phone (505) 325-0238

1001 W Broadway
Ste E
Farmington, NM 87401
Phone (505) 327-4796

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

121 El Paso Rd
Ruidoso, NM 88345
Phone (505) 257-4061

1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690

Interoperability endpoints

  • Direct secure messaging: bhanlon213130@direct.phs.org

Organizations & group practices 4

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 2

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1164002275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HIGH RESORT BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871245901",
            "telephone_number": "505-462-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "BRITTANY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63463",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "63463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.