Individual provider Active NPI

Nanette C Vela, NP

  • Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1194230714
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-03422 Issued in NM
Practice address
2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Phone
(505) 253-6100
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-03422 NM Primary

Addresses

Primary practice location

2400 Unser Blvd SE
Rio Rancho, NM 87124-4740

Mailing address

PO Box 26666
PHS 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
I20171220001110 NM Practitioner - Nurse Practitioner 5597023549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vessel Health LLCGroup PAC ID 9638218803, 3 clinicians

Practice addresses (Care Compare)

10601 4TH St NW
Albuquerque, NM 87114-2407
Phone (505) 828-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03422NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince May 9, 2019 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 9, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 5, 2018 Accepting new patients
House Calls of New Mexico LLC CurrentSince Jul 14, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 5, 2018 Accepting new patients
Vessel Health LLC CurrentSince May 1, 2024 Accepting new patients

Locations

2300 Warrenville Rd
Ste 100
Downers Grove, IL 60515
Phone (630) 296-3400

801 Warrenville Rd
Ste 800
Lisle, IL 60532

2129 Osuna Rd NE
Ste C
Albuquerque, NM 87113
Phone (505) 554-4080

2129 Osuna Rd NE
Albuquerque, NM 87113
Phone (505) 244-0046

10601 4th St NW
Albuquerque, NM 87114
Phone (505) 828-3000

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

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

2400 Unser Blvd SE
#8100
Rio Rancho, NM 87124
Phone (505) 253-6100

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1194230714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS 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": "2400 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244740",
            "telephone_number": "505-253-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "NANETTE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.