Individual provider Active NPI

Ryan Commiskey, NP-C

  • Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1922510577
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-03432 Issued in NM
Practice address
2085 S Pacheco St
Santa Fe, NM 87505-6103
Phone
(505) 477-2200
Fax
(505) 782-1902
NPI assigned
Nov 3, 2017
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-03432 NM Primary

Addresses

Primary practice location

2085 S Pacheco St
Santa Fe, NM 87505-6103

Mailing address

6 Glorieta Rd
Santa Fe, NM 87508-2257
Phone (765) 730-5946

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
I20180110001195 NM Practitioner - Nurse Practitioner 9436418837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nexus HealthGroup PAC ID 9234509282, 31 clinicians

Practice addresses (Care Compare)

2085 S Pacheco St
Santa Fe, NM 87505-6103
Phone (505) 670-8292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamos Physician Practices LLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Apr 1, 2024 Accepting new patients
Nexus Health CurrentSince Nov 1, 2022 Accepting new patients
Nexus Health Primary Care LLC Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3917 West Rd
Ste 225
Los Alamos, NM 87544
Phone (505) 662-3450

2085 S Pacheco St
Santa Fe, NM 87505
Phone (505) 395-3000

4200 Beckner Rd
Santa Fe, NM 87507
Phone (505) 477-2200

Interoperability endpoints

  • Direct secure messaging: ryan.commiskey@nexushealth.ikm.direct-ci.com

Organizations & group practices 6

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 4

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1922510577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLORIETA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875082257",
            "telephone_number": "765-730-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056103",
            "telephone_number": "505-477-2200",
            "fax_number": "505-782-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMMISKEY",
        "first_name": "RYAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.