Individual provider Active NPI

Deborah A Van Willigen, MD

  • Family Medicine Physician
  • Taos, NM
National Provider Identifier
1205893864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95-58 Issued in NM
Practice address
1397A Weimer Road
Holy Cross Hospital
Taos, NM 87571
Phone
(505) 758-8883
NPI assigned
Apr 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95-58 NM Primary

Addresses

Primary practice location

1397A Weimer Road
Holy Cross Hospital
Taos, NM 87571

Mailing address

1397A Weimer Road
PO Box DD
Taos, NM 87571
Phone (505) 758-8883

Other names 1

  • Debra Ann Gamertsfelder Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000001 NM Practitioner - Family Practice 0648218974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Medical Group P aGroup PAC ID 0042269979, 5 clinicians

Practice addresses (Care Compare)

1399 Weimer Rd
Suite 200
Taos, NM 87571-6349
Phone (505) 758-2224

630 Paseo del Pueblo Sur
Suite 180
Taos, NM 87571-7023
Phone (575) 758-4786

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95-58NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Home Health Care, Inc. Family Medicine CurrentSince Mar 13, 2025 Accepting new patients
Taos Medical Group P a CurrentSince Mar 1, 2014 Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1397 Weimer Rd
#A
Taos, NM 87571
Phone (505) 737-0304

1399 Weimer Rd
Ste 200
Taos, NM 87571
Phone (505) 758-2224

630 Paseo del Pueblo Sur
Ste 180
Taos, NM 87571
Phone (505) 758-1024

Interoperability endpoints

  • Direct secure messaging: deborah.van.willigen.1@2636.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2636/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205893864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397A WEIMER ROAD",
            "address_2": "PO BOX DD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397A WEIMER ROAD",
            "address_2": "HOLY CROSS HOSPITAL",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WILLIGEN",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-58",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GAMERTSFELDER",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.