Active NPI
Cydney Roller, N.P.
- Family Nurse Practitioner
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP01000
- Practice address
- 400 N Pennsylvania Ave Ste 101
Roswell, NM 88201-4754 - Phone
- (575) 623-9101
- Fax
- (575) 623-3020
- NPI assigned
- May 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP01000 | NM | Primary |
| Emergency Medicine Physician | 207P00000X | R43142 | NM |
Addresses
Primary practice location
400 N Pennsylvania Ave Ste 101
Roswell, NM 88201-4754
Mailing address
400 N Pennsylvania Ave Ste 101
Roswell, NM 88201-4754
Phone (575) 623-9101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50808338 | Medicaid | NM |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040511001108 | NM | Practitioner - Nurse Practitioner | 6406845700 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spine and Orthopedic Center of New Mexico PC
Practice addresses (Care Compare)
400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754
Phone (575) 623-9101
Hospital & facility affiliations
- Enhabit Home Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.71 of 100
- Quality
- 72.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP01000 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masoud Khorsand-Sahbaie, MD PA | Family | Current | Accepting new patients |
| Spine and Orthopedic Center of New Mexico PC | Current | Accepting new patients | |
| Masoud Khorsand- Sahbaie MD P a | Current | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Eddy Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
407 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-9110
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
400 N Pennsylvania Ave
Ste 101
Roswell, NM 88201
Phone (575) 623-9101
Interoperability endpoints
- https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4
- cydney.roller.1@7206.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Roswell, NM
- NPI 1972941474
NM
-
- Emergency Medicine Physician
- Carlsbad, NM
- NPI 1568487395
Emergency Medicine
-
- Family Medicine Physician
- Roswell, NM
- NPI 1427001759
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roswell, NM
- NPI 1639367998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1235188558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PENNSYLVANIA AVE STE 101",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014754",
"telephone_number": "575-623-9101",
"fax_number": "575-623-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PENNSYLVANIA AVE STE 101",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014754",
"telephone_number": "575-623-9101",
"fax_number": "575-623-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLER",
"first_name": "CYDNEY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP01000",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "R43142",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50808338",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.