Individual provider Active NPI

Nathan Larason

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1902484900
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R63920 Issued in NM
Practice address
8100 Constitution PL NE Ste 400
Albuquerque, NM 87110-7644
Phone
(505) 724-7300
Fax
(505) 724-7188
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 R63920 NM Primary

Addresses

Primary practice location

8100 Constitution PL NE Ste 400
Albuquerque, NM 87110-7644

Mailing address

PO Box 26666
Albuquerque, NM 87125-6666
Phone (505) 724-7300

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
I20210519002163 NM Practitioner - Nurse Practitioner 4284033564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R63920NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jun 13, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 13, 2021 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

8100 Constitution Pl NE
Ste 400
Albuquerque, NM 87110
Phone (505) 559-1122

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

201 Cedar St SE
Ste 7600
Albuquerque, NM 87106
Phone (505) 563-2500

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

7920 Carmel Ave NE
Albuquerque, NM 87122
Phone (505) 828-4789

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Ste 18300
Rio Rancho, NM 87124
Phone (505) 253-6300

Interoperability endpoints

  • Direct secure messaging: nlarason68432@direct.phs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1902484900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-724-7300",
            "fax_number": "505-724-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CONSTITUTION PL NE STE 400",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107644",
            "telephone_number": "505-724-7300",
            "fax_number": "505-724-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARASON",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R63920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.