Tracey Anne Luna, MSN RN CDDN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP-02032 Issued in NM

Practice address

106 N Delaware Ave
Roswell, NM 88203-3042

Phone

(575) 420-9380

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Special Needs Consulting LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, NM
  • NPI 1316291792

  NM

  Medicare reassignment Authorized official
• Complete Rehabilitation Services Inc

  • Physical Therapist
  • Roswell, NM
  • NPI 1215055439
  NPD
• Seek First Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, NM
  • NPI 1780211466

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1942576327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5834",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882025834",
            "telephone_number": "575-420-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N DELAWARE AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882033042",
            "telephone_number": "575-420-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "TRACEY",
        "middle_name": "ANNE",
        "credential": "MSN RN CDDN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-02032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Lujan-Palma, MD
• Luma Nova Learning Circle
• Luna Y Sol Life Services
• Courtney F Luna, PT
• Shrillia Jeanice Luna
• Kimberly Renee Lusk
• Luxe Psychiatric and Wellness Services LLC
• Thuy Ly, OTR/L
• Arturo Lynch
• Christopher Mathew Lynn, CRNA

• All providers in Roswell, NM
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.