Ryan Sturges Bozzell

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

54843 Issued in NM

Practice address

735 W Animas St
Farmington, NM 87401-5616

Phone

(505) 609-6300

NPI assigned

Dec 28, 2018

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Juan Regional Medical Center, Inc.Group PAC ID 4587559505, 233 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.97 of 100Reported as group

Quality

79.73

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Juan Regional Medical Center Inc

  dba SJHP Gastroenterology

  • Gastroenterology Physician
  • Farmington, NM
  • NPI 1639662901
  Medicare reassignment Care Compare group NPD
• San Juan Regional Medical Center Inc

  dba SJR General Surgeons

  • Surgery Physician
  • Farmington, NM
  • NPI 1104142215
  NPD
• San Juan Regional Medical Center Inc

  dba Sjrmc Internal Medicine

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1225076003
  NPD
• San Juan Regional Medical Center Inc

  dba SJHP Family Medicine Farmington

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1710589015
  NPD

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1447722657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W ANIMAS ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015616",
            "telephone_number": "505-609-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZELL",
        "first_name": "RYAN",
        "middle_name": "STURGES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "54843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Normachele Boo
• Justin Booker
• Laura C Bowen, PT
• James M Boyd, MD
• Reece Leland Boyd, M.D.
• Gina Brachle
• Braden Partners LP (Pacific Pulmonary Services)
• Kathrine Bradley, OTR L
• Robert Bradley, APRN-CNP
• Barbara Bradshaw

• Nurse Practitioner in Farmington, NM
• Providers in Farmington, 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 Nov 14, 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.