Individual provider Active NPI

Nathania Pierre

  • Psychiatric/Mental Health Nurse Practitioner
  • Portales, NM
National Provider Identifier
1386435311
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
86993 Issued in NM
Practice address
405 W 4TH St
Portales, NM 88130-6364
Phone
(575) 226-3898
Fax
(575) 226-3890
NPI assigned
May 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 86993 NM Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11033724 FL

Addresses

Primary practice location

405 W 4TH St
Portales, NM 88130-6364

Mailing address

405 W 4TH St
Portales, NM 88130-6364
Phone (575) 226-3898

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260302002506 NM Practitioner - Nurse Practitioner 8820570633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Psychiatric Care Center LLCGroup PAC ID 3476877507, 3 clinicians

Practice addresses (Care Compare)

405 W 4TH St
Portales, NM 88130-6364
Phone (575) 226-3898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11033724FLMDPsychiatric/Mental Health Nurse Practitioner
86993NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Psychiatric Care Center LLC Single Specialty CurrentSince Feb 2, 2026 Accepting new patients

Locations

405 W 4th St
Portales, NM 88130
Phone (575) 219-9959

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1386435311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306364",
            "telephone_number": "575-226-3898",
            "fax_number": "575-226-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306364",
            "telephone_number": "575-226-3898",
            "fax_number": "575-226-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "NATHANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "86993",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.