Individual provider Active NPI

Eva T. Presnall, FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1447589825
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02207 Issued in NM
Practice address
1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone
(505) 988-9821
Fax
(505) 946-9556
NPI assigned
Dec 15, 2009
Last updated
Mar 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN-83674 NM
Family Nurse Practitioner 363LF0000X CNP-02207 NM Primary

Addresses

Primary practice location

1700 Cerrillos Rd
Santa Fe, NM 87505-3026

Mailing address

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone (505) 988-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100302000850 TX Practitioner - Nurse Practitioner 0941345987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Fe Indian HospitalGroup PAC ID 7719883289, 19 clinicians

Practice addresses (Care Compare)

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone (505) 946-9206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-83674NMMDGeneral Practice Registered Nurse
CNP-02207NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Indian Hospital CurrentSince Feb 8, 2018 Accepting new patients

Locations

400 State Road 30
Espanola, NM 87532
Phone (505) 367-3730

1700 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 946-9206

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1447589825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053026",
            "telephone_number": "505-988-9821",
            "fax_number": "505-946-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053026",
            "telephone_number": "505-988-9821",
            "fax_number": "505-946-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESNALL",
        "first_name": "EVA",
        "middle_name": "T.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "RN-83674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.