Individual provider Active NPI

Dusty Lauren Gentry, FNP-C

  • Family Nurse Practitioner
  • Belen, NM
National Provider Identifier
1770273625
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73468 Issued in NM
Practice address
101 N 6TH St
Belen, NM 87002-8216
Phone
(505) 317-7773
Fax
(855) 844-8611
NPI assigned
May 12, 2023
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 73468 NM Primary

Addresses

Primary practice location

101 N 6TH St
Belen, NM 87002-8216

Mailing address

101 N 6TH St
Belen, NM 87002-8216
Phone (505) 317-7773

Other practice location 1

1316 Jackie Rd SE Ste 400
Rio Rancho, NM 87124-1045
Phone (505) 862-6523

Other practice location 2

801 Encino Pl NE Ste E6
Albuquerque, NM 87102-2645
Phone (877) 522-1275

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
I20230626001917 NM Practitioner - Nurse Practitioner 2062870975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valencia Health and Wellness, P.CGroup PAC ID 3173956877, 5 clinicians

Practice addresses (Care Compare)

101 N 6TH St
Belen, NM 87002-3605
Phone (505) 317-7773

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G & M Medical Center CurrentSince May 17, 2023 Accepting new patients
Valencia Health and Wellness, P.C CurrentSince Jan 31, 2025 Accepting new patients

Locations

101 N 6th St
Belen, NM 87002
Phone (505) 317-7773

1316 Jackie Rd SE
Ste 400
Rio Rancho, NM 87124
Phone (505) 234-1612

Interoperability endpoints

  • Direct secure messaging: dusty.gentry.1@20587.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20587/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1770273625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870028216",
            "telephone_number": "505-317-7773",
            "fax_number": "855-844-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870028216",
            "telephone_number": "505-317-7773",
            "fax_number": "855-844-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Jackie Rd SE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241045",
            "country_code": "US",
            "telephone_number": "505-862-6523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Encino Pl NE Ste E6",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022645",
            "country_code": "US",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "DUSTY",
        "middle_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.