Individual provider Active NPI

Jamie Nicole Robillard, MSN RN

  • Family Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1740972173
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
74023 Issued in NM
Practice address
1301 Cuba Ave
Alamogordo, NM 88310-5727
Phone
(575) 290-1116
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 74023 NM Primary
Registered Nurse 163W00000X 026.0113508 VT

Addresses

Primary practice location

1301 Cuba Ave
Alamogordo, NM 88310-5727

Mailing address

2 Divers CV
Alamogordo, NM 88310-9519
Phone (575) 290-1116

Other practice location 1

115 S Florida Ave Ste E
Alamogordo, NM 88310-6010
Phone (575) 290-1116

Other names 1

  • Jamie N Maxham Former name

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
I20230711004195 NM Practitioner - Nurse Practitioner 9335508118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
026.0113508VTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Pediatrics and Family Care Current Accepting new patients
Otero County Hospital Association CurrentSince Mar 24, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Mar 24, 2025 Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations

115 S Florida Ave
Ste E
Alamogordo, NM 88310
Phone (575) 290-1116

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2559 Medical Dr
Ste D
Alamogordo, NM 88310
Phone (505) 434-2229

Interoperability endpoints

  • Direct secure messaging: jamie.robillard.1@6965.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1740972173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DIVERS CV",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883109519",
            "telephone_number": "575-290-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CUBA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105727",
            "telephone_number": "575-290-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S Florida Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883106010",
            "country_code": "US",
            "telephone_number": "575-290-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBILLARD",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "credential": "MSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "74023",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0113508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MAXHAM",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.