Kaileigh Cera, CNP – Family Nurse Practitioner

Key facts

NPI: 1922452960
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: CNP02867 (NM)
Practice address: 3450 Zafarano Dr
Suite C
Santa Fe, NM 87507-2669
Phone: (505) 466-5885
NPI assigned: Apr 15, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Aspen Medical Group LLC Urgent Care Clinic/Center · Santa Fe, NM · NPI 1740533967

Medicare reassignment Care Compare group NPD NM

Hospital & facility affiliations 1

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

St Vincent Hospital General Acute Care Hospital · Santa Fe, NM · NPI 1578587150

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Aspen Medical Group LLC (10 clinicians)

Practice addresses (Care Compare)

3450 Zafarano Dr C
Santa Fe, NM 87507-2669
Phone (505) 466-5885

Hospital & facility affiliations

Christus St Vincent Regional Medical Center Hospital · Santa Fe, NM · CCN 320002

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160803002497	NM	Practitioner - Nurse Practitioner	0446544191	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner, Nurse Practitioner

State licenses

License	State	Type	Specialty
CNP02867	NM	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Aspen Medical Group LLC		Current since Jun 11, 2016	Accepting new patients

Locations

3450 Zafarano Dr
Unit C
Santa Fe, NM 87507
Phone (505) 466-5885

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	CNP02867	NM	Yes

Addresses

Primary practice location

3450 Zafarano Dr
Suite C
Santa Fe, NM 87507-2669

Mailing address

3450 Zafarano Dr
Suite C
Santa Fe, NM 87507-2669
Phone (505) 466-5885

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Family Nurse Practitioner in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.