Mark D Osmer, CNP
Individual provider Active NPI Nurse Practitioner · Deming, NM
NPI 1508183138 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1508183138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP-01957 (NM)
- Practice address
- 125 Chaparrel Blvd NW
Deming, NM 88030-8629 - Phone
- (575) 546-4800
- Fax
- (575) 546-0685
- NPI assigned
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mimbres Internal Medicine PA
Practice addresses (Care Compare)
122 S Gold Ave
Suite 3
Deming, NM 88030-3755
Phone (575) 936-4353
Hospital & facility affiliations
- Amercare Home Health Care Corporation
- Mimbres Valley Medical Center
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 |
|---|---|---|---|---|
| I20120430000173 | NM | Practitioner - Nurse Practitioner | 3072787092 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-01957 | NM | MD | Nurse Practitioner |
| 677019 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Mimbres Internal Medicine PA | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current | Accepting new patients | |
| Deming Hospital Corporation | Past | Accepting new patients | |
| Star State Heart PLLC | Past | Accepting new patients | |
| Donald J Stinar MD | Past |
Accepting new patients |
Locations
122 S Gold Ave
Ste 3
Deming, NM 88030
Phone (505) 544-7280
905 S 8th St
Deming, NM 88030
Phone (575) 543-7200
Interoperability endpoints
- https://api.platform.athenahealth.com/14671/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 677019 | TX | |
| Nurse Practitioner | 363L00000X | CNP-01957 | NM | Yes |
Addresses
Primary practice location
125 Chaparrel Blvd NW
Deming, NM 88030-8629
Mailing address
122 S Gold Ave
Ste 3
Deming, NM 88030-3755
Phone (575) 267-3280
Other providers in Deming, NM
- Jaylynn Nunn
- Occupational Therapy Services Inc
- Ekaette Ogodo
- Marlayna Olivares
- Jurido Olukunle
- Maria Pacheco
- Mariah Armida Pacheco
- Marc Paley
- Veronica Palomar
- Paulina Palomino-Pantoja
All providers in Deming, NM · 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 Dec 1, 2016. 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.