Individual provider Active NPI

Ronald Mark Edwards, FNP-BC

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1790200392
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03324 Issued in NM
Practice address
1316 Jackie Rd SE Ste 500
Rio Rancho, NM 87124-6607
Phone
(505) 415-0719
Fax
(505) 415-0719
NPI assigned
Aug 4, 2017
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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-03324 NM Primary

Addresses

Primary practice location

1316 Jackie Rd SE Ste 500
Rio Rancho, NM 87124-6607

Mailing address

1316 Jackie Rd SE Ste 500
Rio Rancho, NM 87124-6607
Phone (505) 415-0719

Other practice location 1

1244 Walsh St SE
Rio Rancho, NM 87124
Phone (435) 773-1169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu

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
I20170926000503 NM Practitioner - Nurse Practitioner 6002180379 Reassigns benefits to 7 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
G and M Medical CenterGroup PAC ID 7012384852, 3 clinicians
G and M Medical Center LLCGroup PAC ID 8527323526, 2 clinicians

Practice addresses (Care Compare)

1316 Jackie Rd SE
Suite 400
Rio Rancho, NM 87124-1045
Phone (505) 862-6523

1316 Jackie Rd SE
Suite 500
Rio Rancho, NM 87124-6607
Phone (505) 415-0719

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G & M Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Nov 17, 2019 Accepting new patients
Unm Hospital CurrentSince Dec 13, 2025 Accepting new patients
Unm Hospital CurrentSince Dec 13, 2025 Accepting new patients
G & M Medical Center LLC CurrentSince Feb 16, 2018 Accepting new patients
Ess Hospitalist LLC CurrentSince Nov 17, 2019 Accepting new patients
Lovelace Urgent Care, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

8201 Golf Course Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 800-7070

554 Venada Plaza Dr
Bernalillo, NM 87004
Phone (505) 727-4380

1316 Jackie Rd SE
Ste 400
Rio Rancho, NM 87124
Phone (505) 234-1612

1316 Jackie Rd SE
Ste 500
Rio Rancho, NM 87124
Phone (505) 415-0719

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 8

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1790200392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 500",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246607",
            "telephone_number": "505-415-0719",
            "fax_number": "505-372-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 500",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246607",
            "telephone_number": "505-415-0719",
            "fax_number": "505-415-0719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Walsh St SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "87124",
            "country_code": "US",
            "telephone_number": "435-773-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RONALD",
        "middle_name": "MARK",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.