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
Hospital & facility affiliations 2
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
Unm Hospital
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Duke City Urgent Care | Current |
Accepting new patients | |
| Unm Hospital | Current |
Accepting new patients | |
| Fedko Emergency Physicians New Mexico LLC | Current |
Accepting new patients | |
| Fep West LLC | Current |
Accepting new patients | |
| Emergency Staffing Solutions Inc | Current |
Accepting new patients | |
| Unm Hospital | Current |
Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Nurse Practitioner | Current |
Accepting new patients |
| Cibola General Hospital Corporation | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
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
- gchanin7281@ahs.direct-ci.com
- https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Vivianne Michelle Chang
- Changing Lives LLC
- Changing Perspectives Youth and Family Services, LLC
- Changing Seasons Therapy, LLC
- Changing Woman Initiative
- Julie Chanin
- Luxana Chanprakrit
- Chantry Dialysis, LLC
- Conrad Russell Chao
- Judy Chao
All providers in Albuquerque, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.