Organization Active NPI

Curbside Wellness Clinic LLC

  • Family Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1194553024
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CURBSIDE WELLNESS CLINIC LLC
Practice address
921 E 21St St Ste E
Clovis, NM 88101-4443
Phone
(575) 221-9663
NPI assigned
Jul 23, 2024
Last updated
Oct 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CURRBSIDE WELLNESS CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Jessica Simpson, FNP-CNPI 1528639200
Title
Owner/Nurse Practitioner
Phone
(575) 221-9663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

921 E 21St St Ste E
Clovis, NM 88101-4443

Mailing address

921 E 21St St Ste E
Clovis, NM 88101-4443
Phone (978) 259-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827004509 NM Part B Supplier - Clinic/Group Practice 5799286266 Receives reassigned benefits from 1 practitioner
Practice locations: Clovis, NM

National Provider Directory

National Provider Directory
Part of
Curbside Wellness Clinic LLC

Locations

921 E 21st St
Ste E
Clovis, NM 88101
Phone (575) 221-9663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1194553024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 21ST ST STE E",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014443",
            "telephone_number": "978-259-3966",
            "fax_number": "575-935-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 21ST ST STE E",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014443",
            "telephone_number": "575-221-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURBSIDE WELLNESS CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CURRBSIDE WELLNESS CLINIC LLC",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "575-221-9663",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.