Raj Inder Kaur Khalsa, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

C-APN.0001054-C-NP Issued in CO

Practice address

247 Davis Cup Dr Unit 4239
Pagosa Springs, CO 81147-8217

Phone

(505) 927-4360

NPI assigned

Sep 29, 2006

Last updated

Feb 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Las Clinicas del Norte, IncorporatedGroup PAC ID 1456252428, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Las Clinicas del Norte, Incorporated

  dba El Rito Clinic

  • Federally Qualified Health Center (FQHC)
  • El Rito, NM
  • NPI 1053314831
  Medicare reassignment Care Compare group
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1801988662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2979",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811472979",
            "telephone_number": "505-927-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 DAVIS CUP DR UNIT 4239",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478217",
            "telephone_number": "505-927-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "RAJ INDER",
        "middle_name": "KAUR",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "586474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001054-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William McCall Jordan, DO
• Danielle Marie Kahn, APRN
• Kathleenlallenmalpcllc
• Patrick G Keebey, RN, MBA
• Kevin James Kelly, PH.D.
• King Campbell, D.D.S., P.L.L.C.
• Michael L Kloep, M.D.
• James Lyle Knoll III, M.D.
• Faith Koehler
• Jennifer Marie Krick, LCSW

• Family Nurse Practitioner in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.