Chanda M Rose, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-66220 Issued in NM

Practice address

1302 E Main St
Tucumcari, NM 88401-2508

Phone

(754) 612-2005

Fax

(575) 461-2213

NPI assigned

Dec 2, 2021

Last updated

Jul 2, 2024By 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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dr Dan C Trigg Memorial Hospital Hospital, Tucumcari, NM, CCN 321302

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chanda.rose.p1@direct.pmsnm.nextgenshare.com

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 Medical Services

  dba Rio Rancho Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Rio Rancho, NM
  • NPI 1871505032
  Medicare reassignment Care Compare group NPD
• Presbyterian Medical Services

  dba PMS Central Pharmacy

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

  dba Pecos Valley Medical Center

  • Federally Qualified Health Center (FQHC)
  • Pecos, NM
  • NPI 1922656404
  NPD
• Presbyterian Medical Services

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

  dba Quay County Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucumcari, NM
  • NPI 1679649842
  NPD (past)

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

• 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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1356009765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E MAIN ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012508",
            "telephone_number": "754-612-2005",
            "fax_number": "575-461-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E MAIN ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012508",
            "telephone_number": "754-612-2005",
            "fax_number": "575-461-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Camino De Vida Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "NM",
            "postal_code": "884352267",
            "country_code": "US",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHANDA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-66220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.martinez@pmsnm.org",
            "affiliation": "Y",
            "endpointDescription": "Credentialing",
            "affiliationName": "Presbyterian Medical Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1422 Paseo De Peralta",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875014391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Tucumcari, NM
• Providers in Tucumcari, 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 Jul 2, 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.