Individual provider Active NPI

Cydney Roller, N.P.

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1235188558
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP01000 Issued in NM
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

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50808338MedicaidNM

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
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 9 clinicians

Practice addresses (Care Compare)

400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754
Phone (575) 623-9101

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Roswell, NM, CCN 327185

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
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

LicenseStateTypeSpecialty
CNP01000NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Masoud Khorsand-Sahbaie, MD PA Family CurrentSince Oct 1, 2010 Accepting new patients
Spine and Orthopedic Center of New Mexico PC CurrentSince Jul 29, 2013 Accepting new patients
Masoud Khorsand- Sahbaie MD P a CurrentSince Oct 1, 2010 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

  • FHIR API: https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.