Individual provider Active NPI

Nicole S Oswalt, CPNP

  • Pediatric Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1770711079
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP-01500 Issued in NM
Practice address
4351 E Lohman Ave
Suite 301
Las Cruces, NM 88011-8259
Phone
(575) 532-8900
Fax
(575) 532-8963
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X CNP-01500 NM Primary

Addresses

Primary practice location

4351 E Lohman Ave
Suite 301
Las Cruces, NM 88011-8259

Mailing address

PO Box 2827
Apt 7
Las Cruces, NM 88004-2827
Phone (575) 532-1001

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
I20090908000222 NM Practitioner - Nurse Practitioner 3274688791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.11 of 100Reported as group
Quality
84.71
Improvement activities
40
Cost
80.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Primary Care Group P.C. CurrentSince Jun 1, 2016 Accepting new patients
Associated Cardiology Consultants of New Mexico PastSince Jun 1, 2016 Accepting new patients
NM Family Services LLC Pediatrics PastSince Mar 1, 2020 Accepting new patients
NM Family Services LLC Past Accepting new patients

Locations

2405 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-5353

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1770711079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2827",
            "address_2": "APT 7",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042827",
            "telephone_number": "575-532-1001",
            "fax_number": "575-532-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "SUITE 301",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "575-532-8900",
            "fax_number": "575-532-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "NICOLE",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "CNP-01500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.