Suzanne Michelle Huntsman, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

81067 Issued in NM

Practice address

1101 Golf Course Rd SE Ste 203
Rio Rancho, NM 87124-4731

Phone

(505) 225-7040

NPI assigned

Jun 19, 2024

Last updated

Nov 20, 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 2

Addresses

Other names 1

• Suzanne Michelle Tolliver Former name

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ortega WellnessGroup PAC ID 5193006682, 6 clinicians

Practice addresses (Care Compare)

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.

• Ortega Wellness

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1013464379
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1366286940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE STE 203",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244731",
            "telephone_number": "505-225-7040",
            "fax_number": "505-225-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE STE 203",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244731",
            "telephone_number": "505-225-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 El Llano Ln NW",
            "address_purpose": "LOCATION",
            "city": "Los Ranchos",
            "state": "NM",
            "postal_code": "871076500",
            "country_code": "US",
            "telephone_number": "505-716-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "SUZANNE",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "81067",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "81067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "TOLLIVER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane Hughes, D.M.D.
• Elizabeth Hulett
• Hummingbird Assisted Living LLC
• Jodi Ann Hunley
• Madison K Hunt, DC
• Courtney Hurlock
• Rozanne Marie Hurst, LMHC
• Dennis M Hurtado, M.D.
• Brian Husen
• Fahad Hussain

• Primary Care Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, 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.