Robert Stoops, CNP
Individual provider Active NPI Family Nurse Practitioner · Reserve, NM
NPI 1831818921 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1831818921
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 69417 (NM)
- Practice address
- 1 Foster Lane
Reserve, NM 87830 - Phone
- (575) 533-6456
- Fax
- (575) 533-6767
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cura Healthcare
Practice addresses (Care Compare)
Albuquerque, NM 87110
Phone (505) 413-3719
Hospital & facility affiliations
- Covenant Health Hobbs Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221005002386 | NM | Practitioner - Nurse Practitioner | 4385020981 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R65940 | NM | MD | General Practice Registered Nurse |
| 69417 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Cura Healthcare | Family | Current |
Accepting new patients |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 69417 | NM | |
| Family Nurse Practitioner | 363LF0000X | 69417 | NM | Yes |
| 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
- Robert Stoops
Other providers in Reserve, NM
All providers in Reserve, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.