Individual provider Active NPI

Robert Stoops, CNP

  • Family Nurse Practitioner
  • Reserve, NM
National Provider Identifier
1831818921
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69417 Issued in NM
Practice address
1 Foster Lane
Reserve, NM 87830
Phone
(575) 533-6456
Fax
(575) 533-6767
NPI assigned
Aug 23, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 69417 NM
Family Nurse Practitioner 363LF0000X 69417 NM Primary
General Practice Registered Nurse 163WG0000X R65940 NM

Addresses

Primary practice location

1 Foster Lane
Reserve, NM 87830

Mailing address

1 Foster Lane
Reserve, NM 87830
Phone (575) 533-6456

Other practice location 1

8 Old Town Loop
Quemado, NM 87829
Phone (575) 773-4610

Other names 1

  • Robert Stoops Professional name

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
I20221005002386 NM Practitioner - Nurse Practitioner 4385020981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R65940NMMDGeneral Practice Registered Nurse
69417NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Oct 10, 2022 Accepting new patients
Cura Healthcare Family CurrentSince Jan 15, 2025 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Oct 10, 2022 Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1831818921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOSTER LANE",
            "city": "RESERVE",
            "state": "NM",
            "postal_code": "87830",
            "telephone_number": "575-533-6456",
            "fax_number": "575-533-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOSTER LANE",
            "city": "RESERVE",
            "state": "NM",
            "postal_code": "87830",
            "telephone_number": "575-533-6456",
            "fax_number": "575-533-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Old Town Loop",
            "address_purpose": "LOCATION",
            "city": "Quemado",
            "state": "NM",
            "postal_code": "87829",
            "country_code": "US",
            "telephone_number": "575-773-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOOPS",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-10-10",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "69417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69417",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "R65940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "STOOPS",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reserve, NM

Sources for this page

Verify at the official NPI Registry.