Individual provider Active NPI

Deborah Pacheco, NP-C

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1790167641
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02698 Issued in NM
Practice address
1455 S Valley Dr Ste B
Las Cruces, NM 88005-3165
Phone
(575) 526-6992
Fax
(575) 526-7983
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02698 NM Primary

Addresses

Primary practice location

1455 S Valley Dr Ste B
Las Cruces, NM 88005-3165

Mailing address

1455 S Valley Dr Ste B
Las Cruces, NM 88005-3165
Phone (575) 526-6992

Other practice location 1

2121 Juan Tabo Blvd NE
Albuquerque, NM 87112-3307
Phone (505) 237-8800

Other identifiers 1

IdentifierTypeStateIssuer
20821344MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deborah.pacheco.1@1928.direct.athenahealth.com

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
I20150724010030 NM Practitioner - Nurse Practitioner 9234442930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3030 W Picacho Ave
Suite D
Las Cruces, NM 88007-4721
Phone (575) 532-4427

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Las Cruces, NM, CCN 327133
  • Home Kare Inc of Dona Ana Home health agency, Las Cruces, NM, CCN 327126
  • Sierra Home Care Home health agency, Las Cruces, NM, CCN 327180
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02698NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Feb 1, 2022 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Feb 1, 2022 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

150 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (505) 521-5900

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

3030 W Picacho Ave
Ste D
Las Cruces, NM 88007
Phone (575) 532-4427

Interoperability endpoints

  • Direct secure messaging: deborah.pacheco.1@1928.direct.athenahealth.com
  • Direct secure messaging: deborah.pacheco.1@19849.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1790167641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S VALLEY DR STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053165",
            "telephone_number": "575-526-6992",
            "fax_number": "575-526-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S VALLEY DR STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053165",
            "telephone_number": "575-526-6992",
            "fax_number": "575-526-7983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Juan Tabo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871123307",
            "country_code": "US",
            "telephone_number": "505-237-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "DEBORAH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20821344",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborah.pacheco.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1455 S Valley Dr Ste B",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880053165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.