Individual provider Active NPI

Douglas Earl Kast, CNP

  • Family Nurse Practitioner
  • Taos, NM
National Provider Identifier
1295268183
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03206 Issued in NM
Practice address
1397 Weimer Rd
Taos, NM 87571-6253
Phone
(575) 751-5814
Fax
(575) 737-3387
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-03206 NM Primary
Nurse Practitioner 363L00000X CNP-03206 NM

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-6253

Mailing address

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 613-3283

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
I20170519000691 NM Practitioner - Nurse Practitioner 7810274107 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Health Systems Inc Holy Cross HospitalGroup PAC ID 8224937412, shared by 2 NPIs, 40 clinicians

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
86.32
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03206NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Professional Services,LLC CurrentSince Apr 6, 2017 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Apr 14, 2018 Accepting new patients
Taos Professional Services, LLC CurrentSince Apr 6, 2017 Accepting new patients
Epiphany Dermatology of New Mexico, LLC CurrentSince May 15, 2020 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Current Accepting new patients

Locations

5 Calle Medico
Ste A
Santa Fe, NM 87505
Phone (505) 557-6300

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

7300 Ranch Road 2222
Ste 200
Austin, TX 78730

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1295268183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-613-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-751-5814",
            "fax_number": "575-737-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "DOUGLAS",
        "middle_name": "EARL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03206",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.