Active NPI
Monica Nagahiro, CNP
- Family Nurse Practitioner
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 81188
- Practice address
- 4820 E Main St
Farmington, NM 87402-8660 - Phone
- (505) 609-6495
- Fax
- (505) 599-4669
- NPI assigned
- Aug 21, 2024
- Last updated
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 81188 | NM | Primary |
| Registered Nurse | 163W00000X | R46073 | NM |
Addresses
Primary practice location
4820 E Main St
Farmington, NM 87402-8660
Mailing address
PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2243
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4820 E Main St
2 Sjrmc Urgent Care
Farmington, NM 87402-8660
Phone (505) 609-6495
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R46073 | NM | MD | Registered Nurse |
| 81188 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| SSS Skincare and Wellness, LLC Dba Skinsationmd | Current | Accepting new patients |
Locations
4820 E Main St
Farmington, NM 87402
Phone (505) 326-0459
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SJHP Gastroenterology
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
dba San Juan Health Partners Walk-in Clinic
- Family Medicine Physician
- Bloomfield, NM
- NPI 1508219916
-
dba SJHP Family Medicine Farmington
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
- Medical Specialty Clinic/Center
- Farmington, NM
- NPI 1881560712
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SJRMC Inpatient Rehab Unit
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1306679741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844088",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844088",
"telephone_number": "505-609-2243",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 E MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874028660",
"telephone_number": "505-609-6495",
"fax_number": "505-599-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAHIRO",
"first_name": "MONICA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "81188",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R46073",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.