Active NPI
Lynelle Marie Endsley, NP
- Family Nurse Practitioner
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-56101
- 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, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2295514 | GA | MD | Family Nurse Practitioner |
| 56101 | NM | MD | Family Nurse Practitioner |
| CNP-56101 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Branch County | Current | 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 | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Past | 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.
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
dba Guam Radiology Consultants
- Vascular & Interventional Radiology Physician
- Tamuning, GU
- NPI 1376767426
-
dba CHC Oncology
- Hematology & Oncology Physician
- Coldwater, MI
- NPI 1215964192
-
dba CHC Internal Medicine Group
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
dba CHC Cardinal Connect
- Pediatric Adolescent Medicine Physician
- Coldwater, MI
- NPI 1619304458
-
- Specialist
- Coldwater, MI
- NPI 1245213537
-
- Orthopaedic Surgery Physician
- Marietta, GA
- NPI 1013059823
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
dba Oaklawn Hospital
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.