Active NPI
Robert Navarrette Jr., CNP
- Family Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1659340602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R41469
- Practice address
- 2405 S Telshor Blvd
Las Cruces, NM 88011-5049 - Phone
- (575) 522-5353
- Fax
- (575) 522-7571
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R41469 | NM | Primary |
Addresses
Primary practice location
2405 S Telshor Blvd
Las Cruces, NM 88011-5049
Mailing address
2525 S Telshor Blvd
Ste 102
Las Cruces, NM 88011-9148
Phone (575) 522-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59471387 | Medicaid | NM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040126000181 | NM | Practitioner - Nurse Practitioner | 6608778071 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274
2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100
Hospital & facility affiliations
- Three Crosses Regional Hospital LLC
- Christus Southern New Mexico
- Mountain View Regional Medical Center
- Memorial Medical Center
- Sierra Vista Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R41469 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Elite Primary Care, LLC | Current | Accepting new patients | |
| Three Crosses Regional Hospital LLC | Current | Accepting new patients | |
| Three Crosses Regional Hospital LLC | Past | Accepting new patients | |
| New Mexico Primary Care Group P.C. | Past | Accepting new patients |
Locations
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
2550 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 522-7247
2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868
2560 Samaritan Dr
Ste 121
Las Cruces, NM 88001
Interoperability endpoints
- rnavarrett@swhpc.direct.gemmsnet.com
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 and National Provider Directory roles.
-
- Methadone Clinic
- Las Cruces, NM
- NPI 1568168342
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Internal Medicine Physician
- Las Cruces, NM
- NPI 1528201597
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
Hospital
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1659340602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 S TELSHOR BLVD",
"address_2": "STE 102",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119148",
"telephone_number": "575-522-5353",
"fax_number": "575-522-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115049",
"telephone_number": "575-522-5353",
"fax_number": "575-522-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRETTE",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R41469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59471387",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.