Individual provider Active NPI

Jerried Lee Noseff, CFNP

  • Family Nurse Practitioner
  • Hobbs, NM
National Provider Identifier
1477787208
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02761 Issued in NM
Practice address
2410 N Fowler St
Hobbs, NM 88240-2312
Phone
(575) 392-2040
NPI assigned
May 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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-02761 NM Primary

Addresses

Primary practice location

2410 N Fowler St
Hobbs, NM 88240-2312

Mailing address

2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040

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
I20151118000509 NM Practitioner - Nurse Practitioner 8224164322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Medical Group, Inc.Group PAC ID 2961453402, 11 clinicians

Practice addresses (Care Compare)

2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Hobbs, NM, CCN 327100
  • Star Care Home Health Home health agency, Hobbs, NM, CCN 327189
  • Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02761NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Briarwood Clinic, LLC Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jerried.noseff.1@1911.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1477787208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSEFF",
        "first_name": "JERRIED",
        "middle_name": "LEE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.