Denise Ann O'Brien, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP3042 Issued in AZ

Practice address

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210

Phone

(575) 915-1338

Fax

(575) 915-1819

NPI assigned

Sep 29, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miss Denise Ann Rouba 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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NM Family Services LLCGroup PAC ID 3274754775, 8 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 and National Provider Directory roles.

• NM Family Services LLC

  • Physical Therapist
  • Santa Teresa, NM
  • NPI 1649697657

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• NM Family Services LLC

  • Psychologist
  • Sunland Park, NM
  • NPI 1225426356
  NPD
• NM Integrated Solutions

  dba NM Integrated Solution

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1063147270
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Yuma, AZ
  • NPI 1457459091
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1366692212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 S ARIZONA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647336",
            "telephone_number": "928-376-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 RIO BRAVO DR STE 10",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089210",
            "telephone_number": "575-915-1338",
            "fax_number": "575-915-1819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2573 S. Arizona Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "85364",
            "country_code": "US",
            "telephone_number": "928-376-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Missouri Ave Ste 22",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115062",
            "country_code": "US",
            "telephone_number": "575-636-2550",
            "fax_number": "575-915-1819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-03604",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401029-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP3042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93225008",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "349103",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ROUBA",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "NPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert L Nichols, MD
• NM Family Services LLC
• Nuevos Horizontes Therapy LLC
• Samuel Nunez, LCSW
• Victoria Marie Nunez, PT, DPT
• Karisma Ochoa Mendoza
• One Complete Care Aesthetics LLC (1CC Aesthetics)
• Maryani Claudine Ontiveros
• Jaylene Oquendo
• Brandon I Ordonez, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.