NPIMap

Individual provider Active NPI

Rebecca L Ellis, CNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1902227127
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
72211 Issued in NM
Practice address
1998 N Motel Blvd
Las Cruces, NM 88007-4100
Phone
(575) 541-5941
Fax
(575) 541-5048
NPI assigned
Dec 16, 2013
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 72211 NM Primary
Registered Nurse 163W00000X R66850 NM

Addresses

Primary practice location

1998 N Motel Blvd
Las Cruces, NM 88007-4100

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3088

Other names 1

  • Rebecca L Donaldson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426002376 NM Practitioner - Nurse Practitioner 7012372022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Center on AgingGroup PAC ID 9830233378, 6 clinicians
Ben Archer Health CenterGroup PAC ID 7517878796, 39 clinicians

Practice addresses (Care Compare)

1106 Centre CT
Las Cruces, NM 88011-8154
Phone (575) 532-5455

1950 N Date St
Truth Or Consequences, NM 87901-3701
Phone (575) 894-8057

1960 N Date St
Truth Or Consequences, NM 87901-3701
Phone (575) 894-7662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R66850NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Apr 1, 2023 Accepting new patients
Ben Archer Health Center CurrentSince Apr 1, 2023 Accepting new patients
Ben Archer Health Center Current Accepting new patients
Ben Archer Health Center PastSince Apr 6, 2023 Accepting new patients
Ben Archer Health Center Past Accepting new patients
Ben Archer Health Center Past Accepting new patients
Las Cruces School District No. 2 PastSince Nov 8, 2020 Accepting new patients
Ben Archer Health Center Past Accepting new patients

Locations

2150 Highway 54 S
Alamogordo, NM 88310
Phone (575) 443-8133

1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088

1998 N Motel Blvd
Las Cruces, NM 88007
Phone (575) 541-5941

1998 N Motel Blvd
Bldg A
Las Cruces, NM 88007

3331 Del Rey Blvd
Las Cruces, NM 88012
Phone (575) 267-3280

1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-8057

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Organizations & group practices 9

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": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1902227127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "879370370",
            "telephone_number": "575-267-3088",
            "fax_number": "575-267-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 N MOTEL BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074100",
            "telephone_number": "575-541-5941",
            "fax_number": "575-541-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "72211",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R66850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DONALDSON",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.