Individual provider Active NPI

Tina Mier, CNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1477025195
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-54206 Issued in NM
Practice address
3450 Zafarano Dr Unit C
Santa Fe, NM 87507-2669
Phone
(505) 466-5885
Fax
(505) 466-5886
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-54206 NM Primary

Addresses

Primary practice location

3450 Zafarano Dr Unit C
Santa Fe, NM 87507-2669

Mailing address

3450 Zafarano Dr Unit C
Santa Fe, NM 87507-2669
Phone (505) 466-5885

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418000171 NM Practitioner - Nurse Practitioner 3678814712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Medical Group LLCGroup PAC ID 9133373483, 10 clinicians

Practice addresses (Care Compare)

3450 Zafarano Dr C
Santa Fe, NM 87507-2669
Phone (505) 466-5885

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-54206NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Medical Group LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

3450 Zafarano Dr
Unit A
Santa Fe, NM 87507
Phone (505) 246-6910

3450 Zafarano Dr
Unit C
Santa Fe, NM 87507
Phone (505) 466-5885

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1477025195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ZAFARANO DR UNIT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072669",
            "telephone_number": "505-466-5885",
            "fax_number": "505-466-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ZAFARANO DR UNIT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072669",
            "telephone_number": "505-466-5885",
            "fax_number": "505-466-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIER",
        "first_name": "TINA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-54206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.