Individual provider Active NPI

Sheila Ann Bardwell, NP

  • Acute Care Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1437638657
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53531 Issued in NM
Practice address
2930 Hillrise Dr Ste 6
Las Cruces, NM 88011-4776
Phone
(575) 640-0748
Fax
(575) 567-7222
NPI assigned
Aug 8, 2018
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 53531 NM
Acute Care Nurse Practitioner 363LA2100X 53531 NM Primary

Addresses

Primary practice location

2930 Hillrise Dr Ste 6
Las Cruces, NM 88011-4776

Mailing address

5850 Thielman Rd
Las Cruces, NM 88005-4640
Phone (575) 640-0748

Other practice location 1

2470 Calle De Guadalupe
C3
Mesilla, NM 88046
Phone (575) 640-0748

Other practice location 2

755 S Telshor Blvd Ste R201
Las Cruces, NM 88011-8679
Phone (575) 640-0748

Other practice location 3

299 Montana Ave
Las Cruces, NM 88005-3223
Phone (575) 523-4700

Other practice location 4

2450 S Telshor Blvd
Las Cruces, NM 88011-5141
Phone (575) 556-6558

Other names 1

  • Sheila Hopper Former name

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
I20210311000785 NM Practitioner - Nurse Practitioner 4688080963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2930 Hillrise Dr
Suite 6
Las Cruces, NM 88011-4776
Phone (575) 652-1540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53531NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PHC-Las Cruces Inc Current Accepting new patients
PHC Las Cruces Inc. CurrentSince Mar 9, 2021 Accepting new patients
B-Well, LLC Acute Care CurrentSince Feb 19, 2025 Accepting new patients
PHC Las Cruces Inc CurrentSince Mar 9, 2021 Accepting new patients

Locations

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2930 Hillrise Dr
Ste 6
Las Cruces, NM 88011
Phone (575) 652-1540

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1437638657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 THIELMAN RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880054640",
            "telephone_number": "575-640-0748",
            "fax_number": "575-567-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR STE 6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-640-0748",
            "fax_number": "575-567-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2470 Calle De Guadalupe",
            "address_2": "C3",
            "address_purpose": "LOCATION",
            "city": "Mesilla",
            "state": "NM",
            "postal_code": "88046",
            "country_code": "US",
            "telephone_number": "575-640-0748",
            "fax_number": "575-567-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 S Telshor Blvd Ste R201",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118679",
            "country_code": "US",
            "telephone_number": "575-640-0748",
            "fax_number": "575-556-6539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Montana Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880053223",
            "country_code": "US",
            "telephone_number": "575-523-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115141",
            "country_code": "US",
            "telephone_number": "575-556-6558",
            "fax_number": "575-556-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NM",
            "license": "53531",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "53531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "HOPPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.