John Mark Pope, FNP
Individual provider Active NPI Family Nurse Practitioner · Moriarty, NM
NPI 1497312599 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1497312599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP-56162 (NM)
- Practice address
- 1108 W US Route 66
Moriarty, NM 87035-1006 - Phone
- (505) 281-5180
- NPI assigned
- May 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McLeod Medical Centers of NM Inc
Practice addresses (Care Compare)
1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180
Hospital & facility affiliations
- Ambercare Home Health
- Lovelace Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729000704 | NM | Practitioner - Nurse Practitioner | 0446586572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Medical Centers of NM, Inc. | Current |
Accepting new patients | |
| McLeod Medical Centers of NM, Inc. | Current |
Accepting new patients |
Locations
4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123
11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333
7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995
1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200
12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460
1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463
517 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 326-2255
1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070
Interoperability endpoints
- john.pope.1@27050.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-56162 | NM | Yes |
Addresses
Primary practice location
1108 W US Route 66
Moriarty, NM 87035-1006
Mailing address
12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9557
Phone (505) 281-5180
Other providers in Moriarty, NM
- Douglas William Pai
- Phillip Pasena
- Kimberly Pelkey
- Ginger Peoples
- Kathleen M Phillips
- Positive Change Counseling, LLC
- Rachael P Rael
- Julene E Ricks
- Erica Rightsell
- Stephanie Marie Riordan
All providers in Moriarty, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.