Individual provider Active NPI

Petra Jarabkova Hill, CNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1861248940
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78726 Issued in NM
Practice address
1421 Luisa St Ste I
Santa Fe, NM 87505-4073
Phone
(505) 982-8338
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 78726 NM Primary

Addresses

Primary practice location

1421 Luisa St Ste I
Santa Fe, NM 87505-4073

Mailing address

1 Escondido MTN
Santa Fe, NM 87508-1405
Phone (773) 896-5065

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
I20240701003253 NM Practitioner - Nurse Practitioner 0042754004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John S Caskey MD LLCGroup PAC ID 8820197684, 5 clinicians

Practice addresses (Care Compare)

1421 Luisa St
Suite 1
Santa Fe, NM 87505-4073
Phone (505) 982-8338

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78726NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John S Caskey M.D., LLC Multi-Specialty CurrentSince May 21, 2024 Accepting new patients
Northern NM Medical Management, LLC PastSince May 21, 2024 Accepting new patients

Locations

1421 Luisa St
Ste 1
Santa Fe, NM 87505
Phone (505) 982-8338

1421 Luisa St
Ste I
Santa Fe, NM 87505
Phone (505) 982-8338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3876/brand/1/csg/1/fhir/r4
  • Direct secure messaging: petra.hill.1@3876.direct.athenahealth.com

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.

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1861248940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ESCONDIDO MTN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081405",
            "telephone_number": "773-896-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE I",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-982-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "PETRA",
        "middle_name": "JARABKOVA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "78726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.