Individual provider Active NPI

Sheala P Moffitt, FNP-C

  • Family Nurse Practitioner
  • Farmington, NM
National Provider Identifier
1538046404
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61636 Issued in NM
Practice address
200 N Orchard Ave
Farmington, NM 87401-6225
Phone
(505) 325-8231
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 61636 NM Primary

Addresses

Primary practice location

200 N Orchard Ave
Farmington, NM 87401-6225

Mailing address

5003 Kayenta Dr
Farmington, NM 87402-8364
Phone (505) 787-7507

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
I20260618001101 NM Practitioner - Nurse Practitioner 6507338738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 N Orchard Ave
Farmington, NM 87401-6225

5003 Kayenta Dr
Farmington, NM 87402-8364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61636NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Basin Palliative Care Inc Single Specialty CurrentSince Aug 25, 2025 Accepting new patients
Basin Home Health Inc. Single Specialty PastSince Aug 25, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1538046404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 KAYENTA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028364",
            "telephone_number": "505-787-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ORCHARD AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016225",
            "telephone_number": "505-325-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "SHEALA",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.