Fernando Javier Guillen Sr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53565 Issued in NM

Practice address

826 Anthony Dr.
Anthony, NM 88021

Phone

(575) 201-5135

Fax

(575) 449-4052

NPI assigned

Sep 5, 2018

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nuevo Dia Behavioral Health Care LLC

  • Community/Behavioral Health Agency
  • Las Cruces, NM
  • NPI 1669004073
  Medicare reassignment NPD Authorized official
• La Clinica de Familia, Incorporated

  dba La Clinica De Familia Central Medical

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1528424397
  Medicare reassignment NPD
• Otero County Hospital Association

  dba CHRISTUS Southern New Mexico

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Medicare reassignment NPD
• SBH El Paso, LLC

  dba Peak Behavioral Health

  • Psychiatric Hospital
  • Santa Teresa, NM
  • NPI 1053652438
  Medicare reassignment NPD
• La Clinica de Familia, Incorporated

  dba Mayfield High School Base

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1134917040
  NPD
• La Clinica de Familia, Incorporated

  dba LCDF Community Mental Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1164802310
  NPD
• Otero County Hospital Association

  dba CHRISTUS Pharmacy (Downtown)

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1861974024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 ANTHONY DR.",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "88021",
            "telephone_number": "575-201-5135",
            "fax_number": "575-449-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 Turrentine Dr",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88005",
            "country_code": "US",
            "telephone_number": "575-386-3234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Westridge Rd",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203550",
            "country_code": "US",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "FERNANDO",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "53565",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "75069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55025340",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Uribe Gonzales, SLP
• Daniel Gonzalez, BS
• Alana Denise Grajeda, LMSW
• Noemi Guerra, LMSW
• Erika Guerrero, CHW, LPN
• Rebecca M. Guler, LMHC
• Ambar Gutierrez, BSW
• Marisela Guzman, BSW
• Susan Guzman
• Mary Hampton

• Psychiatric/Mental Health Nurse Practitioner in Anthony, NM
• Providers in Anthony, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.