Individual provider Active NPI

Constance C Belcher, CFNP

  • Family Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1780778159
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP00289 Issued in NM
Practice address
2513 Fred Daugherty Ave
Clovis, NM 88101-8615
Phone
(575) 760-0160
Fax
(575) 762-1676
NPI assigned
Oct 3, 2006
Last updated
May 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP00289 NM Primary
Family Medicine Physician 207Q00000X R19258 NM

Addresses

Primary practice location

2513 Fred Daugherty Ave
Clovis, NM 88101-8615

Mailing address

2513 Fred Daugherty Ave
Clovis, NM 88101-8615
Phone (575) 760-0160

Other identifiers 2

IdentifierTypeStateIssuer
00R8625MedicaidNM
R8625MedicaidNM

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
I20050613000998 NM Practitioner - Nurse Practitioner 5799727509 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP00289NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curry Emergency Group LLC CurrentSince Feb 10, 2016 Accepting new patients
Lea Emergency Group LLC Past Accepting new patients
Sunbelt Oasis Emergency Physicians, LLC Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Retirement Ranches, Inc Past Accepting new patients

Locations

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

Organizations & group practices 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1780778159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 FRED DAUGHERTY AVE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881018615",
            "telephone_number": "575-760-0160",
            "fax_number": "575-762-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 FRED DAUGHERTY AVE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881018615",
            "telephone_number": "575-760-0160",
            "fax_number": "575-762-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "CONSTANCE",
        "middle_name": "C",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00289",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "R19258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00R8625",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R8625",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.