Active NPI
Brenda Lee Fuselier, CNP-APRN
- Nurse Practitioner
- Portales, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 60176
- Practice address
- 304 S Main Ave
Portales, NM 88130-6218 - Phone
- (575) 226-3023
- Fax
- (575) 226-3024
- NPI assigned
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60176 | NM | |
| Family Nurse Practitioner | 363LF0000X | R43905 | NM | |
| Nurse Practitioner | 363L00000X | 60176 | NM | Primary |
Addresses
Primary practice location
304 S Main Ave
Portales, NM 88130-6218
Mailing address
PO Box 55
Portales, NM 88130-0055
Phone (575) 226-3023
Other practice location 1
530 S Roosevelt Road V
Portales, NM 88130-9121
Phone (575) 562-0435 ext. 57556
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
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
Practice addresses (Care Compare)
1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60176 | NM | MD | Nurse Practitioner |
| R43905 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Sievers Sports Medicine Inc | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
304 S Main Ave
Portales, NM 88130
Phone (575) 226-3023
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Interoperability endpoints
- brenda.fuselier.p1@direct.pmsnm.nextgenshare.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
NM
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
-
- Sports Medicine (Family Medicine) Physician
- Portales, NM
- NPI 1366631616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1447899463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"city": "PORTALES",
"state": "NM",
"postal_code": "881300055",
"telephone_number": "575-226-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S MAIN AVE",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306218",
"telephone_number": "575-226-3023",
"fax_number": "575-226-3024"
}
],
"practiceLocations": [
{
"address_1": "530 S Roosevelt Road V",
"address_purpose": "LOCATION",
"city": "Portales",
"state": "NM",
"postal_code": "881309121",
"country_code": "US",
"telephone_number": "575-562-0435 x57556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSELIER",
"first_name": "BRENDA",
"middle_name": "LEE",
"credential": "CNP-APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2021-07-01",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "60176",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R43905",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "60176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.