Individual provider Active NPI

Claire Judith Melgaard, NP

  • Family Nurse Practitioner
  • Bernalillo, NM
National Provider Identifier
1922612985
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61335 Issued in NM
Practice address
121 Calle del Presidente
Bernalillo, NM 87004-6091
Phone
(505) 867-2324
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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 61335 NM Primary

Addresses

Primary practice location

121 Calle del Presidente
Bernalillo, NM 87004-6091

Mailing address

8205 Tina Dr NE
Albuquerque, NM 87109-5236
Phone (505) 463-4465

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
I20211019001823 NM Practitioner - Nurse Practitioner 9032507355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Pueblo Health Services, IncGroup PAC ID 9739170697, 11 clinicians

Practice addresses (Care Compare)

121 Calle del Presidente
Bernalillo, NM 87004-6091
Phone (505) 867-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61335NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Pueblo Health Services, Inc Family CurrentSince Nov 1, 2021 Accepting new patients
El Pueblo Health Services, Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

121 Calle del Presidente
Bernalillo, NM 87004
Phone (505) 867-2324

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30308/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1922612985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 TINA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095236",
            "telephone_number": "505-463-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CALLE DEL PRESIDENTE",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046091",
            "telephone_number": "505-867-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAARD",
        "first_name": "CLAIRE",
        "middle_name": "JUDITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

Verify at the official NPI Registry.