Individual provider Active NPI

Anna Nance, APRN-CNP

  • Primary Care Nurse Practitioner
  • Socorro, NM
National Provider Identifier
1538775382
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
62624 Issued in NM
Practice address
1300 Enterprise Rd
Socorro, NM 87801-4199
Phone
(575) 835-4444
NPI assigned
Sep 17, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 62624 NM Primary
Registered Nurse 163W00000X 74671 NM

Addresses

Primary practice location

1300 Enterprise Rd
Socorro, NM 87801-4199

Mailing address

1300 Enterprise Rd
Socorro, NM 87801-4199

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
I20210429000321 NM Practitioner - Nurse Practitioner 2769891977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Phone (505) 994-1640

2300 Grande Blvd SE
Rio Rancho, NM 87124-1636
Phone (505) 896-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74671NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince May 17, 2021 Accepting new patients
Presbyterian Medical Services CurrentSince May 17, 2021 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services Past Accepting new patients

Locations

1217 Bonita St
Grants, NM 87020
Phone (505) 287-2958

184 Unser Blvd NE
Rio Rancho, NM 87124
Phone (505) 896-0928

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

1300 Enterprise Rd
Socorro, NM 87801
Phone (505) 835-4444

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1538775382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ENTERPRISE RD",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ENTERPRISE RD",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014199",
            "telephone_number": "575-835-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "ANNA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "62624",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "74671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, NM

Sources for this page

Verify at the official NPI Registry.