Grant Penn Chanin, CNP

Individual provider Active NPI Nurse Practitioner · Albuquerque, NM

NPI 1225488018 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1225488018
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
CNP-02952 (NM)
Practice address
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone
(505) 841-1125
Fax
(505) 841-1737
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 16

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fep West LLC (19 clinicians)
Unm Hospital (394 clinicians)

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644

Hospital & facility affiliations

  • Unm Hospital Hospital · Albuquerque, NM · CCN 320001

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100 (group)
Quality
83.58
Promoting interoperability
100
Improvement activities
40
Cost
72.52

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160806000066 NM Practitioner - Nurse Practitioner 5799079224 Reassigns benefits to 8 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group Inc Current
since Jul 1, 2020
Accepting new patients
Duke City Urgent Care Current
since Jun 1, 2025
Accepting new patients
Unm Hospital Current
since Feb 21, 2019
Accepting new patients
Fedko Emergency Physicians New Mexico LLC Current
since Oct 1, 2025
Accepting new patients
Fep West LLC Current
since Sep 1, 2025
Accepting new patients
Emergency Staffing Solutions Inc Current
since Apr 1, 2024
Accepting new patients
Unm Hospital Current
since Feb 21, 2019
Accepting new patients
Southwest Emergency Medical Associates of NM PC Nurse Practitioner Current
since Jul 17, 2023
Accepting new patients
Cibola General Hospital Corporation Current
since Aug 15, 2025
Accepting new patients
Unm Medical Group, Inc. Current
since Jul 1, 2020
Accepting new patients

Locations

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: gchanin7281@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-02952 NM Yes

Addresses

Primary practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Mailing address

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

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu
Direct Messaging Address UNMMG@direct.health.unm.edu

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.