Individual provider Active NPI

Caroline Anne Barrett, CNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1265865265
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02330 Issued in NM
Practice address
210 W Las Cruces Ave
Las Cruces, NM 88005-1804
Phone
(575) 288-9994
Fax
(575) 525-3703
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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-02330 NM Primary

Addresses

Primary practice location

210 W Las Cruces Ave
Las Cruces, NM 88005-1804

Mailing address

1338 Park Dr
Las Cruces, NM 88005-2046
Phone (360) 720-4374

Other identifiers 2

IdentifierTypeStateIssuer
54430267MedicaidNM
NPI & TIN#OtherNMBCBS OF NM

Other names 1

  • Caroline Anne Wyma-Tschoff Former name

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
I20250806001078 NM Practitioner - Nurse Practitioner 4688807357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1338 Park Dr
Las Cruces, NM 88005-2046
Phone (360) 720-4374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02330NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healthcare of Las Cruces,LLC. CurrentSince Feb 3, 2025 Accepting new patients

Locations

210 W Las Cruces Ave
Las Cruces, NM 88005
Phone (575) 249-0390

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1265865265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 PARK DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052046",
            "telephone_number": "360-720-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W LAS CRUCES AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051804",
            "telephone_number": "575-288-9994",
            "fax_number": "575-525-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54430267",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NPI & TIN#",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "WYMA-TSCHOFF",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.