Active NPI
Jeanne M Alvarez, FNP
- Family Nurse Practitioner
- El Rito, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-01421
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048305 | Other | ME | ANTHEM STAR NUMBER |
| 50008796 | Other | ME | RAILROAD MEDICARE |
| 4576021 | Medicaid | NM |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-01421 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mora Valley Community Health Services, Inc. | Current | Accepting new patients | |
| Mora Valley Community Health Services Inc | Current | 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.
-
- Community Health Clinic/Center
- Mora, NM
- NPI 1508840117
-
- Student Health Clinic/Center
- Mora, NM
- NPI 1396104964
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
-
- Family Medicine Physician
- Bangor, ME
- NPI 1013023027
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.