Individual provider Active NPI

Yvonne Michelle Mouchette, N.P.

  • Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1649427451
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R44376 Issued in NM
Practice address
2801 Missouri Ave
Suite 7
Las Cruces, NM 88011-5075
Phone
(575) 373-8415
Fax
(575) 373-8416
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R44376 NM Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X R44376 NM

Addresses

Primary practice location

2801 Missouri Ave
Suite 7
Las Cruces, NM 88011-5075

Mailing address

2801 Missouri Ave
Suite 7
Las Cruces, NM 88011-5075
Phone (575) 373-8415

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000431 NM Practitioner - Nurse Practitioner 5597826461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 E Missouri
Suite 7
Las Cruces, NM 88011-5061
Phone (575) 373-8415

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Sierra Vista Hospital Hospital, T Or C, NM, CCN 321300
  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R44376NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Medical Clinic LLC CurrentSince Jul 1, 2011 Accepting new patients
Haese Clinic of Integrative Medicine LLC Past Accepting new patients

Locations

532 N Telshor Blvd
Ste G
Las Cruces, NM 88011
Phone (505) 373-8415

2801 Missouri Ave
Ste 7
Las Cruces, NM 88011
Phone (575) 373-8415

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1649427451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE 7",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-373-8415",
            "fax_number": "575-373-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE 7",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-373-8415",
            "fax_number": "575-373-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUCHETTE",
        "first_name": "YVONNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R44376",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NM",
            "license": "R44376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.