Stephanie Elissa Giambelluca, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

78376 Issued in NM

Practice address

2100 S Triviz Dr Ste F
Las Cruces, NM 88001-0601

Phone

(575) 556-5915

NPI assigned

Mar 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Elissa Gonzales 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Las Cruces Physician Practices, LLCGroup PAC ID 7618974858, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.giambelluca.1@19849.direct.athenahealth.com

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.

• Las Cruces Physician Practices, LLC

  • Vascular Surgery Physician
  • Las Cruces, NM
  • NPI 1093947491
  Medicare reassignment Care Compare group NPD
• Las Cruces Physician Practices, LLC

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1346586195
  NPD
• Las Cruces Physician Practices, LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1356390769

  Nurse Practitioner

  NPD (past)

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

• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1447010939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010601",
            "telephone_number": "575-556-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBELLUCA",
        "first_name": "STEPHANIE",
        "middle_name": "ELISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "78376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GONZALES",
            "middle_name": "ELISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Gerhardt, PTA
• Savannah Joy Geske, PH.D.
• Get It Together Therapy, LLC
• Angela Getz, LMSW
• Alex Raheem Ghorishi, MD
• Barbara Lynn Giardina, RN
• Jayla L Gibbs
• Jessica Renee Gibbs, M.A., ED.S., NCSP
• Makiba Gibbs
• Robin Gibbs, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.