Active NPI
Mariann Bregin, NP
- Family Nurse Practitioner
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R36389
- Practice address
- 4001 Rodeo Rd
Santa Fe, NM 87507-4830 - Phone
- (505) 471-8994
- Fax
- (505) 473-1274
- NPI assigned
- Jul 26, 2006
- Last updated
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R36389 | NM | Primary |
Addresses
Primary practice location
4001 Rodeo Rd
Santa Fe, NM 87507-4830
Mailing address
4001 Rodeo Rd
Santa Fe, NM 87507-4830
Phone (505) 471-8994
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93038356 | Medicaid | NM | |
| 202015530 | Other | PRESBYTERIAN HEALTH PLANS | |
| 10000287 | Other | LOVELACE | |
| 2765720 | Other | UHC | |
| NM026853 | Other | NM | BCBS NM |
| QMY00000337 | Other | MOLINA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710
5501 Herrera Dr
Santa Fe, NM 87507-2684
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R36389 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital | Current | Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| St. Vincent Hospital | Current | Accepting new patients |
Locations
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
4001 Rodeo Rd
Santa Fe, NM 87507
Phone (505) 471-8994
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
Interoperability endpoints
- mbregin164684@christushealth.direct-ci.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHRISTUS St. Vincent Pediatrics
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
dba CHRISTUS St. Vincent Adult and Family Care
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
dba Arroyo Chamiso Pediatric Center
- Pediatrics Physician
- Santa Fe, NM
- NPI 1669597258
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1215950449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074830",
"telephone_number": "505-471-8994",
"fax_number": "505-473-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074830",
"telephone_number": "505-471-8994",
"fax_number": "505-473-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREGIN",
"first_name": "MARIANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R36389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93038356",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLANS",
"identifier": "202015530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10000287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2765720",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM026853",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMY00000337",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.