Fallon Moody, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

56553 Issued in NM

Practice address

305 W Country Club Rd
Roswell, NM 88201-5892

Phone

(575) 622-6322

Fax

(575) 622-6888

NPI assigned

May 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rio Pecos Medical Associates LTDGroup PAC ID 5597746875, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentry Home Health Care LLC Home health agency, Roswell, NM, CCN 327808
• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Rio Pecos Medical Associates LTD

  • Obstetrics & Gynecology Physician
  • Roswell, NM
  • NPI 1033163076
  Medicare reassignment Care Compare group NPD

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

• Lovelace Health System LLC

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  Care Compare affiliation
• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation
• Sentry Home Health Care LLC

  • Home Health Agency
  • Roswell, NM
  • NPI 1538828835
  Care Compare affiliation

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1740070358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882022608",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "FALLON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "56553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen W Montgomery, MD
• Erin Jeanette Montgomery,, LMFT, LSAA
• Lorene Montoya
• Tonia Elizabeth Montoya, FNP-C
• Vanessa Montoya, M.A. CF-SLP
• Richard Carl Mooney, MD
• Mylah Moore
• Stephen Charles Moran, DDS
• Aylin Moreno
• Diane Morgan, M.S. CCC-SLP

• Primary Care Nurse Practitioner in Roswell, NM
• Providers in Roswell, NM by specialty
• Primary Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.

Verify at the official NPI Registry.