Active NPI
Kevin Douglas Horn, NP
- Family Nurse Practitioner
- Clovis, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 85746
- Practice address
- 912 W 21St St
Clovis, NM 88101-4149 - Phone
- (575) 904-7577
- Fax
- (505) 369-3406
- NPI assigned
- Jun 25, 2025
- Last updated
- Jun 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 85746 | NM | Primary |
| Family Nurse Practitioner | 363LF0000X | RN324390 | GA |
Addresses
Primary practice location
912 W 21St St
Clovis, NM 88101-4149
Mailing address
2006 53Rd St
Lubbock, TX 79412-2714
Phone (817) 219-6964
Other practice location 1
6330 Riverside Plaza Ln NW Ste 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6330 Riverside Plaza LN NW
Suite 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN324390 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Center for Pain and Wellness, LLC | Current | Accepting new patients | |
| Colorado Center for Pain and Wellness, PLLC | Current | Accepting new patients |
Locations
6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Albuquerque, NM
- NPI 1033803143
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1033918131
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Socorro General Hospital
- Critical Access Hospital
- Socorro, NM
- NPI 1790761138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1497643779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 53RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794122714",
"telephone_number": "817-219-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 W 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014149",
"telephone_number": "575-904-7577",
"fax_number": "505-369-3406"
}
],
"practiceLocations": [
{
"address_1": "6330 Riverside Plaza Ln NW Ste 100",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871202682",
"country_code": "US",
"telephone_number": "505-322-6687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORN",
"first_name": "KEVIN",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "85746",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN324390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.