Individual provider Active NPI

Anthony Viscon, APRN

  • Adult Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1447809884
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP142909 Issued in TX
Practice address
2425 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone
(575) 249-2225
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP142909 TX
Adult Health Nurse Practitioner 363LA2200X 62727 NM
Critical Care Medicine Nurse Practitioner 363LC0200X AP142909 TX
Gerontology Nurse Practitioner 363LG0600X AP142909 TX
Adult Health Nurse Practitioner 363LA2200X AP142909 TX Primary

Addresses

Primary practice location

2425 S Telshor Blvd
Las Cruces, NM 88011-5049

Mailing address

841 Gold Beach Dr
Canutillo, TX 79835-8466
Phone (915) 630-9266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200318001336 TX Practitioner - Nurse Practitioner 5799113189 Reassigns benefits to 3 organizations
I20240827000933 NM Practitioner - Nurse Practitioner 5799113189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Consultants of New Mexico PCGroup PAC ID 8628431269, 5 clinicians

Practice addresses (Care Compare)

2000 Woodrow Bean Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 877-8136

2425 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 249-2225

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chauburg PLLC CurrentSince Dec 4, 2019 Accepting new patients
Mobilemed, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Kidney Consultants of New Mexico PC CurrentSince Aug 12, 2024 Accepting new patients
Renal Care Group South New Mexico, LLC CurrentSince Aug 12, 2024 Accepting new patients
Rio Grande Nephrology Consultants PLLC CurrentSince Sep 18, 2023 Accepting new patients
Agrx Management & Consulting PA Past Accepting new patients

Locations

814 W Adobe Dr
Deming, NM 88030
Phone (505) 546-1101

2425 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 249-2225

1201 E Schuster Ave
Ste 1A
El Paso, TX 79902
Phone (915) 229-6448

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

3051 N Zaragoza Rd
El Paso, TX 79938
Phone (915) 227-8065

4849 N Mesa St
Ste 201
El Paso, TX 79912

Organizations & group practices 6

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 5

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1447809884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 GOLD BEACH DR",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798358466",
            "telephone_number": "915-630-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "575-249-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCON",
        "first_name": "ANTHONY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP142909",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "62727",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP142909",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP142909",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP142909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.