Individual provider Active NPI

Anna Elisabeth Praamsma, MSN, CPNP-PC, RN

  • Pediatric Nurse Practitioner
  • Los Lunas, NM
National Provider Identifier
1811493984
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
65707 Issued in NM
Practice address
145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841
Phone
(505) 241-5182
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704308948 MI
Pediatric Nurse Practitioner 363LP0200X 4704308948 MI
Pediatric Nurse Practitioner 363LP0200X 65707 NM Primary

Addresses

Primary practice location

145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841

Mailing address

145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841
Phone (616) 540-9465

Other practice location 1

13201 Sentinal Ct NE
Albuquerque, NM 87111-8259
Phone (616) 540-9465

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL anna.praamsma@aps.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
I20240712001808 NM Practitioner - Nurse Practitioner 4688119746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704308948MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. CurrentSince Aug 12, 2024 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince Aug 12, 2024 Accepting new patients

Locations

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1811493984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 DON PASQUAL RD NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318841",
            "telephone_number": "616-540-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DON PASQUAL RD NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318841",
            "telephone_number": "505-241-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13201 Sentinal Ct NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871118259",
            "country_code": "US",
            "telephone_number": "616-540-9465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAAMSMA",
        "first_name": "ANNA",
        "middle_name": "ELISABETH",
        "credential": "MSN, CPNP-PC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704308948",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704308948",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "65707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anna.praamsma@aps.edu",
            "affiliation": "N",
            "endpointDescription": "Professional business email",
            "address_1": "13200 Sentinal Ct NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871118260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.