Aileen C Swope, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Raton, NM
NPI 1306132899 · NPPES record last updated Feb 15, 2024
Key facts
- NPI
- 1306132899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R59057 (NM)
- Practice address
- 166 Hospital Dr
Raton, NM 87740-2002 - Phone
- (575) 445-3626
- Fax
- (877) 592-0809
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunrise Clinics
Practice addresses (Care Compare)
117 Camino de Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
166 Hospital Dr
Raton, NM 87740-2002
Phone (575) 445-3626
2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119
901 Baca St
Las Vegas, NM 87701-4972
Phone (505) 454-3218
Hospital & facility affiliations
- Miners' Colfax Medical Center
- Mt San Rafael Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120320000590 | NM | Practitioner - Nurse Practitioner | 2264692748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R59057 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Clinics | Nurse Practitioner | Current |
Accepting new patients |
| El Centro Family Health | Past | Accepting new patients |
Locations
901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218
411 S 3rd St
Raton, NM 87740
Phone (505) 445-3626
166 Hospital Dr
Raton, NM 87740
Phone (505) 445-4111
117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R59057 | NM | Yes |
Addresses
Primary practice location
166 Hospital Dr
Raton, NM 87740-2002
Mailing address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
Other practice location 1
117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04301536 | Medicaid | NM | |
| 724825 | Other | NM | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.sanchez@sunrisnm.org | Direct |
Other providers in Raton, NM
- William Stephen Stanley
- Caleb Jozef Stolarczyk
- Amanda D Sturgeon
- Sunrise Clinics
- Carol A Swanson
- Aisa Malonzo Tagle
- Marilou Renie Tagliatela
- Melanie Tapia
- Tdcrotinger
- Teambuilders Behavioral Health, LLC
All providers in Raton, 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 Feb 15, 2024. 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.
- Order and Referring (CMS).
- 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.