Riley Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2003-0359 Issued in NM

Practice address

01 Sagebrush
Isleta, NM 87022

Phone

(505) 869-4863

Fax

(505) 869-4881

NPI assigned

Oct 3, 2006

Last updated

Aug 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of New Mexico School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pueblo of IsletaGroup PAC ID 9739080631, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Belen, NM, CCN 327123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pueblo of Isleta

  dba Isleta Health Center

  • Clinic/Center
  • Isleta, NM
  • NPI 1194738328
  Medicare reassignment Care Compare group
• Pueblo of Isleta

  dba Pueblof of Isleta EMS

  • Ambulance
  • Isleta, NM
  • NPI 1023191368
  NPD (past)
• Pueblo of Isleta

  dba Pueblo of Isleta Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Isleta, NM
  • NPI 1407979008
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Belen, NM
  • NPI 1336117621
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1578657706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220000",
            "telephone_number": "505-869-4863",
            "fax_number": "505-869-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "87022",
            "telephone_number": "505-869-4863",
            "fax_number": "505-869-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RILEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2003-0359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisen A. Krueger, RDH
• Mariela Victoria Leyba, RDH
• Krystal Rachelle Lucero, LSW
• Christine M Murphy, RDH, BS
• Erin R Nelson, RD
• Pueblo of Isleta (Pueblof of Isleta EMS)
• Pueblo of Isleta (Isleta Health Center BH)
• Pueblo of Isleta (Isleta Health Center)
• Pueblo of Isleta (Pueblo of Isleta Dental Clinic)
• Pueblo of Isleta (Pueblo of Isleta Urgent Care)

• Family Medicine Physician in Isleta, NM
• Providers in Isleta, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.

Verify at the official NPI Registry.