Priscilla Pedraza, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76277 Issued in NM

Practice address

385 Calle de Alegra
Las Cruces, NM 88005-3423

Phone

(575) 526-1105

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Clinica de Familia IncorporatedGroup PAC ID 6305745191, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• La Clinica de Familia, Incorporated

  dba La Clinica De Familia Central Medical

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1528424397
  Medicare reassignment Care Compare group NPD
• La Clinica de Familia, Incorporated

  dba Mayfield High School Base

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1134917040
  NPD
• La Clinica de Familia, Incorporated

  dba Gadsden School Base

  • Federally Qualified Health Center (FQHC)
  • Anthony, NM
  • NPI 1689034662
  NPD
• La Clinica de Familia, Incorporated

  • Community/Behavioral Health Agency
  • Sunland Park, NM
  • NPI 1184596371
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1659153856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "76277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Peck Louise Peck, RN, CNS, PNP
• Jaya Bharathi Peddi, M.D.
• Pediatric Behavioral Medicine, Inc
• Pediatric Dental Specialist of New Mexico LLC
• Elizabeth Pedraza
• Peds Tots to Teens LLC
• Talia Y Peiffer-Lapid, MA, CCC-SLP
• Camille Pellegrino
• Sofia Pellegrino
• Cameron Pelletier, DPT

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.

Verify at the official NPI Registry.