Individual provider Active NPI

Melvina Ellenel Fielden, FNP

  • Family Medicine Physician
  • Clovis, NM
National Provider Identifier
1720071772
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CNP00779 Issued in NM
Practice address
2021 W 21St St
Clovis, NM 88101-4086
Phone
(575) 935-7777
Fax
(575) 935-7778
NPI assigned
Aug 25, 2005
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R36434 NM
Family Medicine Physician 207Q00000X CNP00779 NM Primary

Addresses

Primary practice location

2021 W 21St St
Clovis, NM 88101-4086

Mailing address

2021 W 21St St
Clovis, NM 88101-4086
Phone (575) 935-7777

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
I20040921000066 NM Practitioner - Nurse Practitioner 5496723157

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 W 21St St
Clovis, NM 88101-4086

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP00779NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X Press Care LLP CurrentSince Aug 21, 2006 Accepting new patients
X-Press Care LLC CurrentSince Jun 30, 2018 Accepting new patients
Eastern New Mexico Physicians and Surgeons LLC Past Accepting new patients
New Mexico Quickcare LLC Family Medicine Past Accepting new patients
James R Sawyer MD PC Family Medicine Past Accepting new patients

Locations

2021 W 21st St
Clovis, NM 88101
Phone (505) 935-7777

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mfielden@xpcl-nm.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1720071772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014086",
            "telephone_number": "575-935-7777",
            "fax_number": "575-935-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014086",
            "telephone_number": "575-935-7777",
            "fax_number": "575-935-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDEN",
        "first_name": "MELVINA",
        "middle_name": "ELLENEL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R36434",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CNP00779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.