Active NPI
Helen V. Fragua, PA-C,MSN
- Medical Physician Assistant
- Rio Rancho, NM
National Provider Identifier
1437446374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 97-PA14
- Practice address
- 1350 Jackie Rd SE
Suite 101
Rio Rancho, NM 87124-1519 - Phone
- (505) 892-7518
- Fax
- (505) 892-9092
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 97-PA14 | NM | Primary |
Addresses
Primary practice location
1350 Jackie Rd SE
Suite 101
Rio Rancho, NM 87124-1519
Mailing address
1350 Jackie Rd SE
Suite 101
Rio Rancho, NM 87124-1519
Phone (505) 892-7518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97-PA14 | NM | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Physician Associates LLC | Past | Accepting new patients | |
| Genesis Physician Associates LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1437446374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 JACKIE RD SE",
"address_2": "SUITE 101",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241519",
"telephone_number": "505-892-7518",
"fax_number": "505-892-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 JACKIE RD SE",
"address_2": "SUITE 101",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241519",
"telephone_number": "505-892-7518",
"fax_number": "505-892-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGUA",
"first_name": "HELEN",
"middle_name": "V.",
"credential": "PA-C,MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "97-PA14",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.