Individual provider Active NPI

Carlos Aaron Olivas, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Artesia, NM
National Provider Identifier
1710632211
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
66207 Issued in NM
Practice address
702 N 13TH St
Artesia, NM 88210-1199
Phone
(575) 748-3333
Fax
(575) 748-8540
NPI assigned
Feb 14, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 66207 NM Primary

Addresses

Primary practice location

702 N 13TH St
Artesia, NM 88210-1199

Mailing address

3525 Morehead Ave
El Paso, TX 79930-5515
Phone (915) 267-0218

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324000590 NM Practitioner - Nurse Practitioner 9739574047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Artesia General HospitalGroup PAC ID 9537070586, 44 clinicians

Practice addresses (Care Compare)

612 N 13TH St
Artesia, NM 88210-1167

612 N 13TH St C
Artesia Healthcare Professionals
Artesia, NM 88210-1167
Phone (575) 736-8485

702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000

712 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Mar 1, 2022 Accepting new patients
Artesia General Hospital Current Accepting new patients
Artesia General Hospital CurrentSince Mar 1, 2022 Accepting new patients

Locations

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

1101 W Pierce St
Carlsbad, NM 88220
Phone (575) 725-5562

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1710632211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 MOREHEAD AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799305515",
            "telephone_number": "915-267-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101199",
            "telephone_number": "575-748-3333",
            "fax_number": "575-748-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "CARLOS",
        "middle_name": "AARON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "66207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.