Active NPI
Bryan A Krumm, C.N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1457547796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R37050
- Practice address
- 7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314 - Phone
- (505) 884-1114
- Fax
- (505) 856-6320
- NPI assigned
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP00804 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R37050 | NM | Primary |
Addresses
Primary practice location
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Mailing address
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Phone (505) 884-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32638221 | Medicaid | NM |
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7850 Jefferson St NE
Suite 300
Albuquerque, NM 87109-4314
Phone (505) 884-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP00804 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- bryan.krumm.1@26558.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1578644415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1457547796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7850 JEFFERSON ST NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094314",
"telephone_number": "505-884-1114",
"fax_number": "505-856-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 JEFFERSON ST NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094314",
"telephone_number": "505-884-1114",
"fax_number": "505-856-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMM",
"first_name": "BRYAN",
"middle_name": "A",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP00804",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "R37050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32638221",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.