Jill M Freemyer, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R62168 Issued in NM

Practice address

3005 Hillrise Dr
Las Cruces, NM 88011-4703

Phone

(575) 525-3980

Fax

(575) 523-8660

NPI assigned

Oct 17, 2007

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

Other names 1

• Jill M Henderson 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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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.

• Southern New Mexico Neurosurgery LLC

  • Neurological Surgery Physician
  • Las Cruces, NM
  • NPI 1558558726
  Medicare reassignment NPD
• Southwest Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Las Cruces, NM
  • NPI 1821351750
  Medicare reassignment NPD
• Function Therapy Specialists, Inc

  • Physical Therapy Clinic/Center
  • Las Cruces, NM
  • NPI 1982370755
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1437348208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-525-3980",
            "fax_number": "575-523-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-525-3980",
            "fax_number": "575-523-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMYER",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R62168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM006J93",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HENDERSON",
            "middle_name": "M",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Andrew Frazier
• Elizabeth Frazzini
• Michael Edwin Frederich, M.D.
• Samantha Fredericks
• Judy Louise Fredrickson, OTRL
• Ryan Ross Freemyer, M.D.
• Graciella Freitas
• Angela Renee Fresquez, CASE MANAGER
• Marcell Fresquez
• Maricella Frias-Guerra

• Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.