Active NPI
Amber Nolen, CNP
- Family Nurse Practitioner
- Tucumcari, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-57193
- Practice address
- 1302 E Main St
Tucumcari, NM 88401-2508 - Phone
- (575) 461-2200
- Fax
- (505) 443-8385
- NPI assigned
- Aug 5, 2019
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-57193 | NM | Primary |
Addresses
Primary practice location
1302 E Main St
Tucumcari, NM 88401-2508
Mailing address
1302 E Main St
Tucumcari, NM 88401-2508
Phone (575) 461-2200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-57193 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Fedko Emergency Physicians New Mexico LLC | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients |
Locations
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
1302 E Main St
Tucumcari, NM 88401
Phone (505) 461-2200
Interoperability endpoints
- amber.nolen.p1@direct.pmsnm.nextgenshare.com
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.
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
- Emergency Medicine Physician
- Grants, NM
- NPI 1770047441
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tucumcari Home Health Agency
- Home Health Agency
- Tucumcari, NM
- NPI 1427033315
-
dba Dr Dan C Trigg Memorial Hospital
- Critical Access Hospital
- Tucumcari, NM
- NPI 1962488304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1548815897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 E MAIN ST",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884012508",
"telephone_number": "575-461-2200",
"fax_number": "505-443-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 E MAIN ST",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884012508",
"telephone_number": "575-461-2200",
"fax_number": "505-443-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLEN",
"first_name": "AMBER",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-57193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucumcari, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.