Individual provider Active NPI

Nancy Rhien, PA-C

  • Physician Assistant
  • Farmington, NM
National Provider Identifier
1245208677
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2001-PA10 Issued in NM
Practice address
2300 E 30TH St BLDG D-102
Farmington, NM 87401-8991
Phone
(505) 327-4429
Fax
(505) 327-4420
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0002793 CO
Physician Assistant 363A00000X 2001-PA10 NM Primary

Addresses

Primary practice location

2300 E 30TH St BLDG D-102
Farmington, NM 87401-8991

Mailing address

5711 Rinconada St
Farmington, NM 87402-4976
Phone (505) 320-7764

Other identifiers 1

IdentifierTypeStateIssuer
66283124MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040629001455 NM Practitioner - Physician Assistant 4688650526 Reassigns benefits to 1 organization
I20100604000605 CO Practitioner - Physician Assistant 4688650526

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinon Hills Ear Nose and Throat Associates PAGroup PAC ID 8527080175, 3 clinicians

Practice addresses (Care Compare)

2300 E 30TH St
BLDG D 102
Farmington, NM 87401-8991
Phone (505) 327-4429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2001-PA10NMMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1245208677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 RINCONADA ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024976",
            "telephone_number": "505-320-7764",
            "fax_number": "505-327-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D-102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-327-4429",
            "fax_number": "505-327-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHIEN",
        "first_name": "NANCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002793",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "2001-PA10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66283124",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.