Active NPI
Andrea Vega, NP
- Family Nurse Practitioner
- Roswell, NM
National Provider Identifier
1316625361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 72588
- Practice address
- 607 W Country Club Rd
Roswell, NM 88201-5211 - Phone
- (575) 208-7795
- Fax
- (575) 208-7785
- NPI assigned
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 72588 | NM | |
| Family Nurse Practitioner | 363LF0000X | 72588 | NM | Primary |
Addresses
Primary practice location
607 W Country Club Rd
Roswell, NM 88201-5211
Mailing address
607 W Country Club Rd
Roswell, NM 88201-5211
Phone (575) 208-7795
Other practice location 1
313 W Country Club Rd Ste 12
Roswell, NM 88201-5804
Phone (575) 627-5828
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821000340 | NM | Practitioner - Nurse Practitioner | 4486016649 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renal Medicine Associates LTD.
Practice addresses (Care Compare)
313 W Country Club Rd
Suite 12
Roswell, NM 88201-5804
Phone (505) 627-5828
Hospital & facility affiliations
- Artesia General Hospital
- Lovelace Regional Hospital - Roswell
- Carlsbad Medical Center
- Eastern New Mexico Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72588 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Medicine Associates LTD. | Current | Accepting new patients |
Locations
3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400
313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828
Interoperability endpoints
- avega66865@direct.acumenmd.com
Organizations & group practices 2
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": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1316625361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015211",
"telephone_number": "575-208-7795",
"fax_number": "575-208-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015211",
"telephone_number": "575-208-7795",
"fax_number": "575-208-7785"
}
],
"practiceLocations": [
{
"address_1": "313 W Country Club Rd Ste 12",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015804",
"country_code": "US",
"telephone_number": "575-627-5828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA",
"first_name": "ANDREA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "72588",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "72588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.