Luann Mary Wosick, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R20436 Issued in NM

Practice address

06B Main Street
Ortiz Mountain Health Center
Cerrillos, NM 87010

Phone

(505) 471-6266

Fax

(505) 471-5861

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By 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 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

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.

• Presbyterian Medical Services

  dba Rio Rancho Family Health Center

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

  dba PMS Central Pharmacy

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

  dba Alamogordo Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Alamogordo, NM
  • NPI 1821341488
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407969744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "address_2": "ORTIZ MOUNTAIN HEALTH CENTER",
            "city": "CERRILLOS",
            "state": "NM",
            "postal_code": "87010",
            "telephone_number": "505-471-6266",
            "fax_number": "505-471-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "06B MAIN STREET",
            "address_2": "ORTIZ MOUNTAIN HEALTH CENTER",
            "city": "CERRILLOS",
            "state": "NM",
            "postal_code": "87010",
            "telephone_number": "505-471-6266",
            "fax_number": "505-471-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSICK",
        "first_name": "LUANN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R20436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO BD OF NURSING",
            "identifier": "R20436",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holger Droege, NRAEMT
• Lawrence Lyons, MD
• Mindy McClung, MSW
• Presbyterian Medical Services (Ortiz Mountain Health Center)
• Stay Gold Counseling, LLC
• Anjani Susanna Ziznewski, LMT

• Family Nurse Practitioner in Cerrillos, NM
• Providers in Cerrillos, 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 8, 2007; 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.