Linda Marie Stogner, M.D.

Individual provider Active NPI Family Medicine Physician · Estancia, NM

NPI 1780697300 · NPPES record last updated Jun 12, 2008

Key facts

NPI
1780697300
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
86-377 (NM)
Practice address
Esperanza Family Health Center
903 C Fifth St
Estancia, NM 87016
Phone
(505) 384-2777
Fax
(505) 384-2204
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical Services (132 clinicians)

Practice addresses (Care Compare)

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110615000803 NM Practitioner - Family Practice 7911184171 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86-377NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current
since Mar 1, 2011
Accepting new patients
Presbyterian Medical Services Current
since Mar 1, 2011
Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: linda.stogner.p1@direct.pmsnm.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 86-377 NM Yes

Addresses

Primary practice location

Esperanza Family Health Center
903 C Fifth St
Estancia, NM 87016

Mailing address

PO Box 158
701 Allen
Estancia, NM 87016-0158
Phone (505) 384-5068

Other identifiers

IdentifierTypeStateIssuer
10000284OtherNMLOVELACE HEALTH PLAN
37648MedicaidNM
201009665OtherNMPRESBYTERIAN HEALTH PLAN
80147920OtherNMRAILROAD MEDICARE
NM002714OtherNMBLUECROSSBLUESHIELD OF NEW MEXICO
1727557OtherNMUNITED HEALTHCARE
850206810OtherNMTRICARE
PROVP16276OtherNMMOLINA HEALTHCARE

Other providers in Estancia, NM

All providers in Estancia, NM · Family Medicine Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.