Ellen Rhea Warren, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

82-332 Issued in NM

Practice address

630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070

Phone

(575) 758-3005

Fax

(575) 758-7010

NPI assigned

May 1, 2006

Reactivated

Aug 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Associates of TaosGroup PAC ID 4183521024, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain Home Health Care, Inc. Home health agency, Taos, NM, CCN 327010
• Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310
• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
• Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2635/brand/1/csg/1/fhir/r4

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.

• Family Practice Associates of Taos

  • Family Medicine Physician
  • Taos, NM
  • NPI 1881619864
  Medicare reassignment Care Compare group NPD
• Family Practice Associates of Taos

  • Physiological Laboratory
  • Taos, NM
  • NPI 1407195233
  NPD
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain Home Health Care, Inc.

  • Home Health Agency
  • Taos, NM
  • NPI 1215932587
  Care Compare affiliation
• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Espanola, NM
  • NPI 1154307593
  Care Compare affiliation
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare affiliation
• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958
  Care Compare affiliation
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1891753836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ELLEN",
        "middle_name": "RHEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-09-22",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "82-332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09167",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080098206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Wall
• Sherry Renea Wall, RN
• Sarah Waller
• John Michael Walsh, SCHOOL PSYCHOLOGIST
• Susan Warner
• Randal Lynn Watt, PHARMD
• Christopher H Weathers, LCSW
• Timothy M Weaver
• Amy Beth Webb, RN, CDE
• Ronald A Wedemeyer, D.C.

• Family Medicine Physician in Taos, NM
• Providers in Taos, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.