Individual provider Active NPI

Mark D Osmer, CNP

  • Nurse Practitioner
  • Deming, NM
National Provider Identifier
1508183138
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-01957 Issued in NM
Practice address
125 Chaparrel Blvd NW
Deming, NM 88030-8629
Phone
(575) 546-4800
Fax
(575) 546-0685
NPI assigned
Apr 21, 2010
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 677019 TX
Nurse Practitioner 363L00000X CNP-01957 NM Primary

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

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
I20120430000173 NM Practitioner - Nurse Practitioner 3072787092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mimbres Internal Medicine PAGroup PAC ID 7719971522, 3 clinicians

Practice addresses (Care Compare)

122 S Gold Ave
Suite 3
Deming, NM 88030-3755
Phone (575) 936-4353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01957NMMDNurse Practitioner
677019TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mimbres Internal Medicine PA CurrentSince Jan 4, 2016 Accepting new patients
Deming Hospital Corporation Current Accepting new patients
Deming Hospital Corporation CurrentSince Mar 18, 2020 Accepting new patients
Deming Hospital Corporation CurrentSince Mar 18, 2020 Accepting new patients
Donald J Stinar MD PastSince Jan 4, 2016 Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Star State Heart PLLC 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

  • FHIR API: https://api.platform.athenahealth.com/14671/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1508183138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S GOLD AVE",
            "address_2": "STE 3",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303755",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHAPARREL BLVD NW",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880308629",
            "telephone_number": "575-546-4800",
            "fax_number": "575-546-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMER",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "677019",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-01957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.