Individual provider Active NPI

Victoria Forsberg

  • Family Nurse Practitioner
  • Ruidoso, NM
National Provider Identifier
1255831210
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03484 Issued in NM
Practice address
101 5TH St
Ruidoso, NM 88345-7556
Phone
(575) 630-0211
Fax
(575) 630-0295
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-03484 NM Primary

Addresses

Primary practice location

101 5TH St
Ruidoso, NM 88345-7556

Mailing address

101 5TH St
Ruidoso, NM 88345-7556
Phone (575) 630-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221104002023 KS Practitioner - Nurse Practitioner 9830452242
I20230321000895 OK Practitioner - Nurse Practitioner 9830452242 Reassigns benefits to 1 organization
I20230724003339 NM Practitioner - Nurse Practitioner 9830452242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Oklahoma, LLC Family CurrentSince Mar 7, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Jun 27, 2024 Accepting new patients
Senior Psychcare of New Mexico, LLC Family CurrentSince Mar 16, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Jun 27, 2024 Accepting new patients
Practical Health Management LLC Current Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1402 W Gilchrist Ave
Artesia, NM 88210
Phone (505) 746-9865

101 5th St
Ruidoso, NM 88345
Phone (575) 630-0211

6202 E 61st St
Tulsa, OK 74136
Phone (918) 477-7171

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

7218 Harrisburg Blvd
Houston, TX 77011
Phone (713) 921-3900

Interoperability endpoints

  • Direct secure messaging: victoria.forsberg.1@6965.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1255831210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457556",
            "telephone_number": "575-630-0211",
            "fax_number": "575-630-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457556",
            "telephone_number": "575-630-0211",
            "fax_number": "575-630-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSBERG",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

Verify at the official NPI Registry.