Mikkalella J Stegen, FAMILY PRACTIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

54557 Issued in NM

Practice address

2669 Scenic Dr
Alamogordo, NM 88310-8734

Phone

(575) 493-6100

NPI assigned

Dec 29, 2018

Last updated

Dec 29, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Albuquerque Urgent Care Walk in Clinic PC

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1487167961
  NPD

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1336611425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108734",
            "telephone_number": "575-439-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108734",
            "telephone_number": "575-493-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEN",
        "first_name": "MIKKALELLA",
        "middle_name": "J",
        "credential": "FAMILY PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "54557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A. Stauffacher, PH.D.
• Isabelle Quiroz Stebler, P.T.A.
• Megan Steeby, M.A., CF-SLP
• Kathryn Ann Steele
• Bailey Steffen
• Thomas M Stegen, CNP
• Traci Dene Stegen, CNP
• Stephanie Stevenson
• Jason Stewart-Abele
• Amy Renae Stewart, OTRL

• Nurse Practitioner in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.