Individual provider Active NPI

Carrie Flury, PA-C

  • Physician Assistant
  • Roswell, NM
National Provider Identifier
1841287471
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2003-0037 Issued in NM
Practice address
712 W Hobbs St
Roswell, NM 88203-3646
Phone
(575) 623-5263
NPI assigned
Sep 29, 2005
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2003-0037 NM Primary

Addresses

Primary practice location

712 W Hobbs St
Roswell, NM 88203-3646

Mailing address

405 W Country Club Rd
C/O Mso Administration
Roswell, NM 88201-5209
Phone (575) 624-4777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carrie.flury.1@1610.direct.athenahealth.com

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
I20051107000530 NM Practitioner - Physician Assistant 6507897279 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Skin Center, LLC.Group PAC ID 6406262708, 3 clinicians

Practice addresses (Care Compare)

400 N Pennsylvania Ave
Suite 920
Roswell, NM 88201-4779
Phone (575) 208-2509

Merit-based Incentive Payment System (MIPS)

Final score
53.78 of 100Reported as group
Quality
15
Improvement activities
20
Cost
92.61

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Arizona Inc CurrentSince Jul 1, 2023 Accepting new patients
Las Cruces HB Medical Services LLC Physician Assistant CurrentSince Nov 14, 2024 Accepting new patients

Locations

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

Interoperability endpoints

  • Direct secure messaging: carrie.flury.1@1610.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1841287471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W COUNTRY CLUB RD",
            "address_2": "C/O MSO ADMINISTRATION",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "575-624-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W HOBBS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882033646",
            "telephone_number": "575-623-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLURY",
        "first_name": "CARRIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2003-0037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie.flury.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "712 W Hobbs St",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882033646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.