Dianne C Wilson McElyea, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R34632 Issued in NM

Practice address

2701 Missouri Ave
Ste a
Las Cruces, NM 88011-5091

Phone

(575) 522-7880

Fax

(575) 522-7226

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dianne C Wilson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)
• Joseph a Caplan MD PC

  • Cardiovascular Disease Physician
  • Peoria, AZ
  • NPI 1649389156
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1487710216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 KALAHARI LN",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117252",
            "telephone_number": "480-280-5400",
            "fax_number": "505-532-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MISSOURI AVE",
            "address_2": "STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "575-522-7880",
            "fax_number": "575-522-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON MCELYEA",
        "first_name": "DIANNE",
        "middle_name": "C",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R34632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R34632",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "WILSON",
            "middle_name": "C",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mya Willis
• Willow Bloom Therapy LLC
• Chanel Wills
• Zachary Thomas Johnathan Wills
• Lu Ann Wilmeth, MA, LPCC, NCC
• Aaron Paul Wilson, R.PH.
• Adrienne Carol Wilson, LPCC
• Benjamin David Wilson, M.D.
• Elisha Jaedon Wilson
• Elizabeth M Wilson, DMD

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.