Tina Biberdorf, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

64160 Issued in NM

Practice address

4820 E Main St
Farmington, NM 87402-8660

Phone

(505) 609-6495

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Merit-based Incentive Payment System (MIPS)

Final score

90.97 of 100Reported as group

Quality

79.73

Promoting interoperability

100

Improvement activities

40

Cost

78.87

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.

• San Juan Regional Medical Center Inc

  dba SJHP Gastroenterology

  • Gastroenterology Physician
  • Farmington, NM
  • NPI 1639662901
  Medicare reassignment NPD
• San Juan Regional Medical Center Inc

  dba San Juan Health Partners Walk-in Clinic

  • Family Medicine Physician
  • Bloomfield, NM
  • NPI 1508219916
  NPD
• San Juan Regional Medical Center Inc

  dba SJHP Family Medicine Farmington

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1710589015
  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1346910148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028660"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBERDORF",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bevan, M.D.
• Shailah Bevan, PMHNP
• Keshia Katrice Beyale
• Jennifer Beyhan, PHARM.D.
• Patrick Bianconi, DPT
• Teresa L Bigelow, SPTA
• James Andrew Bigham, CNP
• Shawna Bill
• John T Bintz, LPCC
• Bio-Medical Applications of New Mexico, Inc. (Fresenius Kidney Care Farmington)

• Family Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.