Individual provider Active NPI

Leandra J Nier, ACNP-BC

  • Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1861795171
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-01708 Issued in NM
Practice address
1627 S Union Ave
Roswell, NM 88203-2656
Phone
(575) 208-0106
Fax
(575) 208-0700
NPI assigned
Dec 8, 2010
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 CBP-01708 NM
Nurse Practitioner 363L00000X CNP-01708 NM Primary
Acute Care Nurse Practitioner 363LA2100X CNP-01708 NM

Addresses

Primary practice location

1627 S Union Ave
Roswell, NM 88203-2656

Mailing address

PO Box 8354
Roswell, NM 88202-8354
Phone (575) 208-0106

Other practice location 1

PO Box 8354
Roswell, NM 88202-8354
Phone (575) 625-3240

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
I20110510000416 NM Practitioner - Nurse Practitioner 8820274707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of New Mexico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

1627 S Union Ave
Roswell, NM 88203-2656
Phone (575) 625-3240

715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CBP-01708NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siavash Karimian MD of New Mexico PC Dba Roswell Medico Acute Care CurrentSince Sep 1, 2016 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Cura Healthcare CurrentSince Jan 1, 2024 Accepting new patients
Pearson Heart Clinic, LLC Past Accepting new patients

Locations

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

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

1621 N Washington Ave
Roswell, NM 88201
Phone (505) 625-8430

1627 S Union Ave
Roswell, NM 88203
Phone (575) 208-0106

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

Interoperability endpoints

  • Direct secure messaging: lfinney707104@ahs.direct-ci.com

Organizations & group practices 5

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 3

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1861795171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8354",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882028354",
            "telephone_number": "575-208-0106",
            "fax_number": "575-208-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 S UNION AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882032656",
            "telephone_number": "575-208-0106",
            "fax_number": "575-208-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 8354",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882028354",
            "country_code": "US",
            "telephone_number": "575-625-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIER",
        "first_name": "LEANDRA",
        "middle_name": "J",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CBP-01708",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-01708",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP-01708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.