NPIMap

Individual provider Active NPI

Clifton Christopher Duncan, CNP

  • Family Nurse Practitioner
  • Ruidoso, NM
National Provider Identifier
1699384321
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188999 Issued in VA
Practice address
121 El Paso Rd
Ruidoso, NM 88345-6033
Phone
(575) 630-8350
NPI assigned
Jul 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60648 NM
Family Nurse Practitioner 363LF0000X 0024188999 VA Primary

Addresses

Primary practice location

121 El Paso Rd
Ruidoso, NM 88345-6033

Mailing address

121 El Paso Rd
Ruidoso, NM 88345-6033
Phone (575) 630-8350

Other practice location 1

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718003083 VA Practitioner - Nurse Practitioner 7315366424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5855 Bremo Rd
Suite 306
Richmond, VA 23226-1923
Phone (804) 287-7650

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60648NMMDFamily Nurse Practitioner
0024188999VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Bon Secours St Mary'S Hospital of Richmond LLC CurrentSince Jul 14, 2024 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jul 14, 2024 Accepting new patients

Locations

9600 Patterson Ave
Richmond, VA 23229
Phone (804) 285-6818

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

Interoperability endpoints

  • Direct secure messaging: cduncan2592508@direct.bsmhealth.org

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1699384321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EL PASO RD",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456033",
            "telephone_number": "575-630-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EL PASO RD",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456033",
            "telephone_number": "575-630-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Patterson Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232296053",
            "country_code": "US",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "CLIFTON",
        "middle_name": "CHRISTOPHER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

Verify at the official NPI Registry.