Individual provider Active NPI

Jeanne M Alvarez, FNP

  • Family Nurse Practitioner
  • El Rito, NM
National Provider Identifier
1871599233
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01421 Issued in NM
Practice address
State Rd 571 BLDG #28
El Rito, NM 87530-0237
Phone
(575) 581-4728
Fax
(575) 581-4731
NPI assigned
Jun 21, 2005
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01421 NM Primary

Addresses

Primary practice location

State Rd 571 BLDG #28
El Rito, NM 87530-0237

Mailing address

#28 On Highway 571
El Rito, NM 87530-0237
Phone (575) 581-4728

Other identifiers 3

IdentifierTypeStateIssuer
048305OtherMEANTHEM STAR NUMBER
50008796OtherMERAILROAD MEDICARE
4576021MedicaidNM

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
I20110721000391 NM Practitioner - Nurse Practitioner 4688695141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Mora Valley Clinic Rd
Mora, NM 87732-2202
Phone (575) 387-5069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01421NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mora Valley Community Health Services, Inc. CurrentSince May 16, 2024 Accepting new patients
Mora Valley Community Health Services Inc CurrentSince May 16, 2024 Accepting new patients
Independent Medical Associates, PA Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

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.

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1871599233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#28 ON HIGHWAY 571",
            "city": "EL RITO",
            "state": "NM",
            "postal_code": "875300237",
            "telephone_number": "575-581-4728",
            "fax_number": "575-581-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE RD 571 BLDG #28",
            "city": "EL RITO",
            "state": "NM",
            "postal_code": "875300237",
            "telephone_number": "575-581-4728",
            "fax_number": "575-581-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM STAR NUMBER",
            "identifier": "048305",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "50008796",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4576021",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Rito, NM

Sources for this page

Verify at the official NPI Registry.