Individual provider Active NPI

Deann Lynn Nelson, RN, FNP

  • Family Nurse Practitioner
  • Gallup, NM
National Provider Identifier
1790039998
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03460 Issued in NM
Practice address
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone
(505) 863-7141
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R62373 NM
Family Nurse Practitioner 363LF0000X CNP-03460 NM Primary

Addresses

Primary practice location

1901 Red Rock Dr
Gallup, NM 87301-5683

Mailing address

10849 Arezzo Dr NW
Albuquerque, NM 87114-5281
Phone (505) 870-1267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180212001545 TX Practitioner - Nurse Practitioner 7214297241 Reassigns benefits to 1 organization
I20180227002176 NM Practitioner - Nurse Practitioner 7214297241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
73.96
Promoting interoperability
93
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R62373NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Emergency Medical Associates of NM PC Nurse Practitioner CurrentSince Jul 17, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 3, 2022 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 13, 2018 Accepting new patients
National Sinus Institute PLLC Nurse Practitioner CurrentSince Jul 26, 2019 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200

6709 Academy Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 207-7550

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

1720 Louisiana Blvd NE
Ste 401A
Albuquerque, NM 87110

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

3791 Southern Blvd SE
Ste 100
Rio Rancho, NM 87124
Phone (505) 207-7550

1620 N Main St
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA
  • Direct secure messaging: dnelson202666@direct.phs.org
  • Direct secure messaging: dnelson557701@ahs.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1790039998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10849 AREZZO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145281",
            "telephone_number": "505-870-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RED ROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEANN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R62373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.