Individual provider Active NPI

Bianca Giselle Ortega, PA-C

  • Family Medicine Physician
  • Artesia, NM
National Provider Identifier
1780061481
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA2015-0010 Issued in NM
Practice address
612 N 13TH St
Suite D
Artesia, NM 88210-1112
Phone
(575) 746-4540
NPI assigned
May 1, 2015
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2015-0010 NM
Family Medicine Physician 207Q00000X PA2015-0010 NM Primary

Addresses

Primary practice location

612 N 13TH St
Suite D
Artesia, NM 88210-1112

Mailing address

PO Box 157
Artesia, NM 88211-0157
Phone (575) 746-3616

Other practice location 1

702 N 13th St
Artesia, NM 88210-1199
Phone (575) 746-3119

Other practice location 2

301 S Roselawn Ave
Artesia, NM 88210-2462
Phone (575) 746-3616

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
I20160106002273 NM Practitioner - Physician Assistant 5698077790 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Nov 17, 2015 Accepting new patients
Artesia General Hospital Past Accepting new patients
Southwestern Regional Medical Center Family Medicine Past Accepting new patients
Michael J Grafe DO LTD Family Medicine PastSince Jul 1, 2023 Accepting new patients

Locations

612 N 13th St
Ste B
Artesia, NM 88210
Phone (575) 736-8262

612 N 13th St
Ste D
Artesia, NM 88210
Phone (575) 736-8270

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

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, 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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1780061481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882110157",
            "telephone_number": "575-746-3616",
            "fax_number": "575-748-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 13TH ST",
            "address_2": "SUITE D",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101112",
            "telephone_number": "575-746-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101199",
            "country_code": "US",
            "telephone_number": "575-746-3119",
            "fax_number": "575-746-8524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Roselawn Ave",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102462",
            "country_code": "US",
            "telephone_number": "575-746-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "BIANCA",
        "middle_name": "GISELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2015-0010",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2015-0010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.