Individual provider Active NPI

Elizabeth Reyes

  • Adult Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1306603121
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
78085 Issued in NM
Practice address
3900 E Lohman Ave Ste B
Las Cruces, NM 88011-8268
Phone
(575) 522-5752
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 78085 NM Primary

Addresses

Primary practice location

3900 E Lohman Ave Ste B
Las Cruces, NM 88011-8268

Mailing address

7338 Black Mesa Dr
El Paso, TX 79911-3097

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
I20240328000679 NM Practitioner - Nurse Practitioner 2466899299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Medicine Associates LTD.Group PAC ID 1052217585, 37 clinicians

Practice addresses (Care Compare)

3900 E Lohman Ave
Suite B
Las Cruces, NM 88011-8268
Phone (575) 522-5752

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78085NMMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Vascular Services LLC CurrentSince Jul 14, 2025 Accepting new patients
Renal Medicine Associates LTD. CurrentSince Mar 14, 2024 Accepting new patients

Locations

3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400

3900 E Lohman Ave
Ste B
Las Cruces, NM 88011
Phone (575) 522-5752

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828

Interoperability endpoints

  • Direct secure messaging: ereyes62529@direct.acumenmd.com

Organizations & group practices 3

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 5

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1306603121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 BLACK MESA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E LOHMAN AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118268",
            "telephone_number": "575-522-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "78085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.