Andrews Family Care, Inc.
Organization Active NPI Family Nurse Practitioner · Roswell, NM
NPI 1295313559 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1295313559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- ANDREWS FAMILY CARE, INC.
- Practice address
- 1405 N Union Ave
Roswell, NM 88201-8269 - Phone
- (575) 622-4633
- Fax
- (575) 622-4497
- NPI assigned
- Mar 30, 2021
- Organization subpart
- No
Authorized official
- Name
- Trish Andrews
- Title
- Administrator
- Phone
- (575) 910-2390
Practitioners 1
-
Bruce Andrews, APRN-CNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2271655 | Andrews Family Care, Inc | Certificate of waiver | Nov 6, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210512000612 | NM | Part B Supplier - Clinic/Group Practice | 8224447826 |
Receives reassigned benefits from 1 practitioner Practice locations: Roswell, NM |
National Provider Directory
Locations
1405 N Union Ave
Roswell, NM 88201
Phone (575) 208-0106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1405 N Union Ave
Roswell, NM 88201-8269
Mailing address
1405 N Union Ave
Roswell, NM 88201-8269
Phone (575) 910-2390
Other providers in Roswell, NM
- Anaya Counseling
- Melvin Gabriel Anaya
- Ann S Anderson
- Erika Lynn Anderson
- Andrew D. Johnson, O.D., P.C.
- Alexandra Vida Andrews
- Bruce Andrews
- Mark Leroy Andrews
- Angela Chavez
- Angelica Audiology, LLC
All providers in Roswell, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.