Bettina Pangan, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R30260 Issued in NM

Practice address

3500 Comanche Rd NE Ste C
Albuquerque, NM 87107-4546

Phone

(505) 998-7200

Fax

(505) 998-7220

NPI assigned

Mar 6, 2007

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: bpangan14194@direct.phs.org

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1285764894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-998-7200",
            "fax_number": "505-998-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-998-7200",
            "fax_number": "505-998-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN",
        "first_name": "BETTINA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R30260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26351064",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ping Pan, M.D.
• Aiden Jake Pancer, MD
• Sujata Pandey
• Nancy Pandhi, MD
• Shashwat Pandhi, M.D., M.P.H.
• Jennifer Panhorst, LISW
• Pramod Venugopal Panikkath
• Varayini Pankayatselvan, MD
• Marina Alyssa Pannel, AMFT
• Nick Pannell

• Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.