Individual provider Active NPI

Amy Lynn Wishard, AGNP

  • Acute Care Nurse Practitioner
  • Artesia, NM
National Provider Identifier
1528603602
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
54477 Issued in NM
Practice address
606 N 13TH St
Artesia, NM 88210-1133
Phone
(575) 748-8301
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 54477 NM
Acute Care Nurse Practitioner 363LA2100X 54477 NM Primary

Addresses

Primary practice location

606 N 13TH St
Artesia, NM 88210-1133

Mailing address

702 N 13TH St
Artesia, NM 88210-1199
Phone (575) 748-3333

Other practice location 1

111 W Hobbs St
Roswell, NM 88203-1869
Phone (575) 623-3311

Other practice location 2

2411 Osborne Rd
Carlsbad, NM 88220-3265
Phone (575) 885-2188

Other practice location 3

702 N 13th St
Artesia, NM 88210-1199
Phone (575) 748-3333

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
I20240325002177 NM Practitioner - Nurse Practitioner 0143667295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artesia General HospitalGroup PAC ID 9537070586, 44 clinicians

Practice addresses (Care Compare)

606 N 13TH St
Artesia, NM 88210-1133

612 N 13TH St
Artesia, NM 88210-1167

612 N 13TH St C
Artesia Healthcare Professionals
Artesia, NM 88210-1167
Phone (575) 736-8485

702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000

712 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000

Hospital & facility affiliations

  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital Past Accepting new patients
Southwestern Regional Medical Center Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1528603602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101199",
            "telephone_number": "575-748-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101133",
            "telephone_number": "575-748-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Hobbs St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882031869",
            "country_code": "US",
            "telephone_number": "575-623-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Osborne Rd",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203265",
            "country_code": "US",
            "telephone_number": "575-885-2188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101199",
            "country_code": "US",
            "telephone_number": "575-748-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISHARD",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "54477",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "54477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.