NPIMap

Individual provider Active NPI

Reagan Shea Leyva, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1285144642
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03426 Issued in NM
Practice address
2402 W Pierce St Ste 2a
Carlsbad, NM 88220-3568
Phone
(575) 887-0637
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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-03426 NM Primary

Addresses

Primary practice location

2402 W Pierce St Ste 2a
Carlsbad, NM 88220-3568

Mailing address

2402 W Pierce St Ste 2a
Carlsbad, NM 88220-3568
Phone (575) 887-0637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reagan.leyva.1@1739.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207000968 NM Practitioner - Nurse Practitioner 8325308661 Reassigns benefits to 1 organization

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
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

2420 W Pierce St
Carlsbad, NM 88220-3517

2420 W Pierce St
Carlsbad, NM 88220-3518

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Carlsbad, NM, CCN 327172
  • TLC Home Health Care, LLC Home health agency, Carlsbad, NM, CCN 327209
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos Valley of New Mexico, LLC CurrentSince Dec 23, 2017 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Dec 23, 2017 Accepting new patients

Locations

2402 W Pierce St
Ste 2A
Carlsbad, NM 88220
Phone (505) 628-0926

2420 W Pierce St
Ste 100
Carlsbad, NM 88220
Phone (505) 628-8837

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

Interoperability endpoints

  • Direct secure messaging: reagan.leyva.1@1739.direct.athenahealth.com

Organizations & group practices 2

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 6

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1285144642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 2A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203568",
            "telephone_number": "575-887-0637",
            "fax_number": "575-887-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 2A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203568",
            "telephone_number": "575-887-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "REAGAN",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reagan.leyva.1@1739.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "2402 W Pierce St Ste 2A",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.