Individual provider Active NPI

Susann Ravessoud, N.P.

  • Acute Care Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1477543759
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP-01878 Issued in NM
Practice address
3500 Northrise Dr
Las Cruces, NM 88011-7274
Phone
(575) 395-7246
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN430276 CA
Registered Nurse 163W00000X RN-74298 NM
Nurse Practitioner 363L00000X NP10007 CA
Acute Care Nurse Practitioner 363LA2100X CNP-01878 NM Primary

Addresses

Primary practice location

3500 Northrise Dr
Las Cruces, NM 88011-7274

Mailing address

PO Box 221530
El Paso, TX 79913-4530
Phone (915) 598-7246

Other identifiers 1

IdentifierTypeStateIssuer
00453277MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IA2 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
I20130228000004 NM Practitioner - Nurse Practitioner 1355446196 Reassigns benefits to 3 organizations
I20251106001480 IA Practitioner - Nurse Practitioner 1355446196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy Clinics 304 clinicians
Northwest Hospital Medicine Physicians LLC 67 clinicians
Epmed, PA 22 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 522-8641

3500 Northrise Dr
New Mexico Pain Center
Las Cruces, NM 88011-7274
Phone (575) 395-7246

635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
60.32
Promoting interoperability
98
Improvement activities
40
Cost
71.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN430276CAMDRegistered Nurse
RN-74298NMMDRegistered Nurse
NP10007CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Nurse Practitioner CurrentSince Oct 10, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Northwest Hospital Medicine Physicians LLC Nurse Practitioner CurrentSince Jan 9, 2017 Accepting new patients
North Iowa Mercy Clinics CurrentSince Oct 10, 2025 Accepting new patients
Epmed, PA CurrentSince Sep 27, 2021 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Nov 1, 2014 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Nov 1, 2014 Accepting new patients
Epmed, PA Current Accepting new patients
Epmed, PA CurrentSince Sep 27, 2021 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

20 S New York Ave
Alamogordo, NM 88310
Phone (575) 395-7246

3600 Coors Blvd NW
Ste 200
Albuquerque, NM 87120
Phone (505) 264-9961

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

2530 S Telshor Blvd
Ste 107
Las Cruces, NM 88011
Phone (575) 556-6440

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

880 S Telshor Blvd
Ste 100
Las Cruces, NM 88011
Phone (575) 395-7246

3500 Northrise Dr
Las Cruces, NM 88011
Phone (575) 395-7246

1000 Commercial Dr SE
Rio Rancho, NM 87124
Phone (505) 264-9961

2730 N Wilshire Blvd
Roswell, NM 88201
Phone (575) 395-7246

421 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 983-9878

Interoperability endpoints

  • Direct secure messaging: sravessoud4553550@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1477543759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221530",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799134530",
            "telephone_number": "915-598-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NORTHRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117274",
            "telephone_number": "575-395-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVESSOUD",
        "first_name": "SUSANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN430276",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-74298",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP10007",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP-01878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453277",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.