Desiree Danielle Martinez Wills, DNP, FNP-BC

Key facts

NPI

1609386374

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

CNP-03396 (NM)

Practice address

2450 S Telshor Blvd
Las Cruces, NM 88011-5141

Phone

(575) 522-8641

NPI assigned

Oct 6, 2017

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Las Cruces Physician Practices, LLC Vascular Surgery Physician · Las Cruces, NM · NPI 1093947491
  Medicare reassignment NPD NM
• Southwest Emergency Medical Associates of NM PC Emergency Medicine Physician · Las Cruces, NM · NPI 1720505571
  Medicare reassignment NPD NM · NURSE PRACTITIONER
• Las Cruces Physician Practices LLC Obstetrics & Gynecology Physician · Las Cruces, NM · NPI 1235484304
  NPD
• Las Cruces Physician Practices, LLC Cardiovascular Disease Physician · Las Cruces, NM · NPI 1346586195
  NPD
• Perinatal Associates of New Mexico, LTD Maternal & Fetal Medicine Physician · Albuquerque, NM · NPI 1376565952
  NPD (past)
• Perinatal Associates of New Mexico, LTD Maternal & Fetal Medicine Physician · El Paso, TX · NPI 1982550554
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: desiree.martinez.wills.1@19849.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2021.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1609386374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 PENNSYLVANIA PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880120814",
            "telephone_number": "505-946-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115141",
            "telephone_number": "575-522-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ WILLS",
        "first_name": "DESIREE",
        "middle_name": "DANIELLE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "RN-77659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

• Margaret V. Martin
• Olivia Martin, MD
• Patricia Elaine Martin, DDS
• Robert Howard Martin
• Scot A Martin, MD. PC.
• Roberta Martinez-Flores, MS CCC-SLP
• Blanca E Martinez-Rolle, PH.D.
• Blanca Martinez-Torres, RN
• Abraham Martinez, NP
• Amanda Martinez

All providers in Las Cruces, NM · Family Nurse Practitioner in New Mexico