Ryan Sturges Bozzell
Individual provider Active NPI Nurse Practitioner · Farmington, NM
NPI 1447722657 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1447722657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 54843 (NM)
- Practice address
- 735 W Animas St
Farmington, NM 87401-5616 - Phone
- (505) 609-6300
- NPI assigned
- Dec 28, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
801 W Maple St
Sjrmc ER Physicians
Farmington, NM 87401-5630
Phone (505) 609-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 79.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190515001156 | NM | Practitioner - Nurse Practitioner | 1355684382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54843 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current |
Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current |
Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients |
Locations
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
735 W Animas St
Farmington, NM 87401
Phone (505) 564-6850
407 S Schwartz Ave
Ste 201
Farmington, NM 87401
Phone (505) 609-6300
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 54843 | NM | Yes |
Addresses
Primary practice location
735 W Animas St
Farmington, NM 87401-5616
Mailing address
PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258
Other providers in Farmington, NM
- Normachele Boo
- Justin Booker
- Laura C Bowen
- James M Boyd
- Reece Leland Boyd
- Gina Brachle
- Braden Partners LP
- Kathrine Bradley
- Robert Bradley
- Barbara Bradshaw
All providers in Farmington, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.