Individual provider Active NPI

Margaret M. Trivino, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Espanola, NM
National Provider Identifier
1568245488
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
75123 Issued in NM
Practice address
835 Spruce St Ste C&D
Espanola, NM 87532-3455
Phone
(505) 747-0081
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75123 NM Primary

Addresses

Primary practice location

835 Spruce St Ste C&D
Espanola, NM 87532-3455

Mailing address

835 Spruce St Ste C&D
Espanola, NM 87532-3455
Phone (505) 747-0081

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
I20231025003817 NM Practitioner - Nurse Practitioner 5294181392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Psych Services LLCGroup PAC ID 6406225416, 2 clinicians
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

1502 S Saint Francis Dr
Santa Fe, NM 87505-4040
Phone (505) 409-6351

835 Spruce St
Suite Candd
Espanola, NM 87532-3455
Phone (505) 747-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75123NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Transition Services Psychiatric/Mental Health Current Accepting new patients
Presbyterian Medical Services CurrentSince Sep 25, 2023 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Sep 25, 2023 Accepting new patients
Renew Psych Services LLC Psychiatric/Mental Health CurrentSince Oct 6, 2024 Accepting new patients
Presbyterian Medical Services PastSince Aug 1, 2023 Accepting new patients

Locations

835 Spruce St
Ste Cd
Espanola, NM 87532
Phone (505) 747-7400

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

1502 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 390-6802

Organizations & group practices 6

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1568245488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SPRUCE ST STE C&D",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323455",
            "telephone_number": "505-747-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SPRUCE ST STE C&D",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323455",
            "telephone_number": "505-747-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVINO",
        "first_name": "MARGARET",
        "middle_name": "M.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "75123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

Verify at the official NPI Registry.