Margie K. Gleason, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Las Cruces, NM
NPI 1700570801 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1700570801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 73813 (NM)
- Practice address
- 530 N Telshor Blvd Ste a
Las Cruces, NM 88011-8243 - Phone
- (575) 303-2929
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230912003816 | NM | Practitioner - Nurse Practitioner | 8426412214 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73813 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Primary Care, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 73813 | NM | Yes |
Addresses
Primary practice location
530 N Telshor Blvd Ste a
Las Cruces, NM 88011-8243
Mailing address
530 N Telshor Blvd Ste a
Las Cruces, NM 88011-8243
Phone (575) 303-2929
Other providers in Las Cruces, NM
- Candace M Giummo
- Alanna K Giusto
- Alan Dale Givens
- Jilana Gladstone
- Frances E Glasscock
- Alexa Glick
- John Edward Glick
- Marlea Glick
- Nolan Glick
- Ashley Goehler
All providers in Las Cruces, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.