Kellie Hoskins, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Chaparral, NM

NPI 1649827064 · NPPES record last updated Sep 23, 2019

Key facts

NPI
1649827064
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
57051 (NM)
Practice address
204 Angelina Blvd
Chaparral, NM 88081-7558
Phone
(575) 824-8100
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical Services (132 clinicians)

Practice addresses (Care Compare)

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

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

Enrollment IDStateProvider typePAC IDDetails
I20191001002990 NM Practitioner - Nurse Practitioner 0840520011 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
57051NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services Current
since Sep 23, 2019
Accepting new patients
Presbyterian Medical Services Current
since Sep 23, 2019
Accepting new patients

Locations

204 Angelina Blvd
Chaparral, NM 88081
Phone (575) 824-0144

300 S Diamond Ave
Deming, NM 88030
Phone (575) 546-4663

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: kellie.hoskins.p1@direct.pmsnm.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57051 NM Yes

Addresses

Primary practice location

204 Angelina Blvd
Chaparral, NM 88081-7558

Mailing address

204 Angelina Blvd
Chaparral, NM 88081-7558
Phone (575) 824-8100

Other providers in Chaparral, NM

All providers in Chaparral, NM · Family Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.