Individual provider Active NPI

Susan Brown, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1750776555
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-03159 Issued in NM
Practice address
760 N Motel Blvd
Las Cruces, NM 88007-4169
Phone
(575) 527-7975
Fax
(575) 674-2861
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127665 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-03159 NM Primary

Addresses

Primary practice location

760 N Motel Blvd
Las Cruces, NM 88007-4169

Mailing address

385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other practice location 1

1900 Denver Ave
El Paso, TX 79902-3008
Phone (915) 731-8314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151007000132 TX Practitioner - Nurse Practitioner 1557679842 Reassigns benefits to 1 organization
I20170419002814 NM Practitioner - Nurse Practitioner 1557679842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHC Mesilla Valley Hospital, LLCGroup PAC ID 3072553056, 7 clinicians

Practice addresses (Care Compare)

3751 Del Rey Blvd
Las Cruces, NM 88012-7710
Phone (575) 382-3500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Mesilla Valley Hospital LLC CurrentSince Mar 20, 2017 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Jan 30, 2023 Accepting new patients
Rio Grande Psychiatric Associates PA CurrentSince Jul 4, 2015 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Jan 30, 2023 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

3751 Del Rey Blvd
Las Cruces, NM 88012
Phone (505) 382-3500

535 S Miranda St
Las Cruces, NM 88005

3571 Del Rey Blvd
Mesillia Vly Hosp
Las Cruces, NM 88012
Phone (575) 373-5043

760 N Motel Blvd
Ste Ac
Las Cruces, NM 88007

1900 Denver Ave
El Paso, TX 79902
Phone (915) 787-6265

4849 N Mesa St
Ste 201
El Paso, TX 79912

613 Victoria Ln
Harlingen, TX 78550
Phone (888) 800-5641

7601 Fannin St
Houston, TX 77054
Phone (713) 715-4297

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1750776555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N MOTEL BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074169",
            "telephone_number": "575-527-7975",
            "fax_number": "575-674-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Denver Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023008",
            "country_code": "US",
            "telephone_number": "915-731-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127665",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-03159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.