Active NPI
Yelena Kamoeva, CNP
- Acute Care Nurse Practitioner
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- CNP-01769
- Practice address
- 455 Saint Michaels Dr
Santa Fe, NM 87505-7601 - Phone
- (505) 984-2600
- Fax
- (505) 983-7299
- NPI assigned
- Aug 7, 2011
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | CNP-01769 | NM | Primary |
Addresses
Primary practice location
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Mailing address
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 984-2600
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 High St NE
Albuquerque, NM 87102-2565
Phone (502) 596-7358
Hospital & facility affiliations
- Presbyterian Hospice Inpatient Unit
- Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-01769 | NM | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- ykamoeva48272@direct.phs.org
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1215266754
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Community Based Hospice Care Agency
- Albuquerque, NM
- NPI 1245216688
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1598044612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-984-2600",
"fax_number": "505-983-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-984-2600",
"fax_number": "505-983-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMOEVA",
"first_name": "YELENA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-07",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "CNP-01769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.