Individual provider Active NPI

Holly Jean Purcell-Callin, CNP

  • Adult Health Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1306997879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R44725 Issued in NM
Practice address
2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone
(505) 983-9460
Fax
(505) 983-0568
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R44725 NM Primary

Addresses

Primary practice location

2212 Brothers Rd
Santa Fe, NM 87505-6903

Mailing address

2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone (505) 983-9460

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
I20110217000376 NM Practitioner - Nurse Practitioner 1759562234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyle B Amer MD PCGroup PAC ID 6103007687, 2 clinicians

Practice addresses (Care Compare)

2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone (505) 983-9460

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lyle B Amer MD PC CurrentSince Oct 13, 2010 Accepting new patients

Locations

2212 Brothers Rd
Santa Fe, NM 87505
Phone (505) 983-9460

Organizations & group practices 1

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 1

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306997879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 BROTHERS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056903",
            "telephone_number": "505-983-9460",
            "fax_number": "505-983-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 BROTHERS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056903",
            "telephone_number": "505-983-9460",
            "fax_number": "505-983-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL-CALLIN",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "R44725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.