Individual provider Active NPI

Lynelle Marie Endsley, NP

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1609262526
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-56101 Issued in NM
Practice address
400 N Pennsylvania Ave
Ste 570
Roswell, NM 88201-4792
Phone
(575) 625-5512
Fax
(575) 625-1013
NPI assigned
Apr 7, 2015
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 56101 NM
Family Nurse Practitioner 363LF0000X RN2295514 GA
Family Nurse Practitioner 363LF0000X CNP-56101 NM Primary

Addresses

Primary practice location

400 N Pennsylvania Ave
Ste 570
Roswell, NM 88201-4792

Mailing address

400 N Pennsylvania Ave
Ste 570
Roswell, NM 88201-4792
Phone (770) 455-4009

Other names 1

  • Lynelle Endsley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220110001327 GU Practitioner - Nurse Practitioner 2163733387 Reassigns benefits to 1 organization
I20250609002545 MI Practitioner - Nurse Practitioner 2163733387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.1 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
30
Cost
79.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2295514GAMDFamily Nurse Practitioner
56101NMMDFamily Nurse Practitioner
CNP-56101NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County CurrentSince Jun 1, 2025 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Guam X-Ray CurrentSince Nov 29, 2021 Accepting new patients
Community Health Center of Branch County CurrentSince Jun 1, 2025 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Nov 17, 2019 Accepting new patients

Locations

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1609262526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "address_2": "STE 570",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014792",
            "telephone_number": "770-455-4009",
            "fax_number": "770-455-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "address_2": "STE 570",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014792",
            "telephone_number": "575-625-5512",
            "fax_number": "575-625-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDSLEY",
        "first_name": "LYNELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56101",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN2295514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-56101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNELLE",
            "last_name": "ENDSLEY",
            "credential": "ARNP-CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.