Patricia Conkling, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R23886 Issued in NM

Practice address

4200 Meadowlark LN SE
Ste 2
Rio Rancho, NM 87124-1050

Phone

(505) 891-9990

Fax

(505) 891-9007

NPI assigned

Oct 31, 2005

Last updated

Aug 10, 2013By 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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Patricia Conkling CNP LLC

  dba Meadowlark Family Healthcare

  • Primary Care Clinic/Center
  • Rio Rancho, NM
  • NPI 1023219680
  Authorized official Same address or phone
• Mesa Emergency Group LLC

  • Emergency Medicine Physician
  • Albuquerque, NM
  • NPI 1912000704
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376092800000",
    "number": "1356332365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE",
            "address_2": "STE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-891-9990",
            "fax_number": "505-891-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE",
            "address_2": "STE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-891-9990",
            "fax_number": "505-891-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLING",
        "first_name": "PATRICIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R23886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27986756",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA SALUD",
            "identifier": "PROVP12369",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200601944",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHP",
            "identifier": "10000021",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "P00302877",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM026863",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly J Collins, DPT
• Mary Pamela Colton, LPC
• Comfortable Dentistry 4U - Rio Rancho, LLC
• Victoria Ann Compoccio, STUDENT INTERN
• Kase Conklin
• Emily Marie Connor, RPH
• Pamela M Conry, CNS
• Alison Ahlin Cook, LMSW
• Coryanne Cook
• Jennifer Liane Cook, LPCC

• Family Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, 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 Aug 10, 2013; 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.