Gail M Ellison, CFNP – Family Nurse Practitioner

Key facts

NPI: 1770504805
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: CNP00679 (NM)
Practice address: 93 Little Glorietta
Cloudcroft, NM 88317-8831
Phone: (575) 682-3309
Fax: (575) 682-3649
NPI assigned: Jul 22, 2006
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

White Sands Family Practice Clinic, Inc. Nurse Practitioner · Alamogordo, NM · NPI 1972528891

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
HHS exclusion list flag: The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
CNP00679	NM	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
White Sands Family Practice Clinic, Inc.		Past since Oct 20, 2019	Accepting new patients

Interoperability endpoints

FHIR API: https://fhir-myrecord.cerner.com/r4/h9KqHATFapnAh9QYI0aR69I-qK5X4t_N/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	CNP00679	NM	Yes

Addresses

Primary practice location

93 Little Glorietta
Cloudcroft, NM 88317-8831

Mailing address

PO Box 13
Cloudcroft, NM 88317-0013
Phone (575) 682-3309

Other providers in Cloudcroft, NM

Alesha Marie Bird
Bloom and Grow Pediatrics LLC
Susan A Bruce, CRNP
Eva Lynne Budzinski, MSN, NNP-BC, FNP-BC
Julia Victoria Malave Eigenmann, FNP-C
Louise Hamilton
Sylvia M Montoya, MD
Pathfinder Autism Services, LLC
Presbyterian Medical Services
Bradley G. Rasch, D.C.

All providers in Cloudcroft, NM · Family Nurse Practitioner in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.