Individual provider Active NPI

Julio Cesar Fermin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Deming, NM
National Provider Identifier
1225677982
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
58948 Issued in NM
Practice address
300 S Diamond Ave
Deming, NM 88030-3752
Phone
(575) 546-2174
NPI assigned
Dec 29, 2019
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 58948 NM Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN-76601 NM

Addresses

Primary practice location

300 S Diamond Ave
Deming, NM 88030-3752

Mailing address

901 W Hickory St
Deming, NM 88030-4046
Phone (575) 546-2174

Other practice location 1

3751 Del Rey Blvd
Las Cruces, NM 88012-7710
Phone (800) 877-3500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326000201 NM Practitioner - Nurse Practitioner 1759710742 Reassigns benefits to 1 organization

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
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

901 W Hickory St
Deming Health Center Behavioral Health
Deming, NM 88030-4046
Phone (575) 546-2174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-76601NMMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Mar 23, 2020 Accepting new patients
Presbyterian Medical Services CurrentSince Mar 23, 2020 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

300 S Diamond Ave
Deming, NM 88030
Phone (575) 546-4663

901 W Hickory St
Deming, NM 88030
Phone (575) 388-4497

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: julio.fermin.p1@direct.pmsnm.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1225677982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W HICKORY ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304046",
            "telephone_number": "575-546-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S DIAMOND AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303752",
            "telephone_number": "575-546-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 Del Rey Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880127710",
            "country_code": "US",
            "telephone_number": "800-877-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-29",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "58948",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "RN-76601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.