Ladonna Lee Chacon, AGPCNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

CNP-02602 Issued in NM

Practice address

402 E Miel de Luna Ave
Tucumcari, NM 88401-3828

Phone

(575) 461-7100

Fax

(575) 461-7101

NPI assigned

Oct 4, 2014

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucumcari Home Health Home health agency, Tucumcari, NM, CCN 327029
• Dr Dan C Trigg Memorial Hospital Hospital, Tucumcari, NM, CCN 321302
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lchacon247499@direct.phs.org

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.

• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment Care Compare group NPD
• Presbyterian Medical Services

  dba Rio Rancho Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Rio Rancho, NM
  • NPI 1871505032
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Socorro General Hospital

  • Critical Access Hospital
  • Socorro, NM
  • NPI 1790761138
  Medicare reassignment
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Presbyterian Medical Services

  dba PMS Central Pharmacy

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1306654462
  NPD
• Presbyterian Medical Services

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1518910553
  NPD
• Presbyterian Healthcare Services

  dba Espanola Hospital

  • Rural Acute Care Hospital
  • Espanola, NM
  • NPI 1154307593
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Tucumcari Home Health Agency

  • Home Health Agency
  • Tucumcari, NM
  • NPI 1427033315
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Dr Dan C Trigg Memorial Hospital

  • Critical Access Hospital
  • Tucumcari, NM
  • NPI 1962488304
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1326441346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MIEL DE LUNA AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013828",
            "telephone_number": "575-461-7100",
            "fax_number": "575-461-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MIEL DE LUNA AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013828",
            "telephone_number": "575-461-7100",
            "fax_number": "575-461-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gallegos",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "NM",
            "postal_code": "884267602",
            "country_code": "US",
            "telephone_number": "575-487-9000",
            "fax_number": "575-487-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "LADONNA",
        "middle_name": "LEE",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "CNP-02602",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "CNP-02602",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP-02602",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R32046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Calbert
• Cameron Cannady, PTA
• Kristi Dawn Cargile
• Paolo Caserta
• Daniel Cassmeyer
• Adrian Chavarria, TFC
• Michelle Chavez
• Steve J Chavez
• Child and Family Wellness, PC
• Chinea Dental LLC

• Primary Care Nurse Practitioner in Tucumcari, NM
• Providers in Tucumcari, NM by specialty
• Primary Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.