Individual provider Active NPI

Michael R Brison

  • Primary Care Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1942756630
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP-03044 Issued in NM
Practice address
1919 5TH St Ste a
Santa Fe, NM 87505-6012
Phone
(505) 216-6387
Fax
(949) 883-3768
NPI assigned
Aug 31, 2016
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CNP-03044 NM Primary

Addresses

Primary practice location

1919 5TH St Ste a
Santa Fe, NM 87505-6012

Mailing address

1919 5TH St Ste a
Santa Fe, NM 87505-6012
Phone (505) 216-6387

Other practice location 1

831 S Saint Francis Dr
Santa Fe, NM 87505-3027
Phone (505) 501-7791

Other identifiers 1

IdentifierTypeStateIssuer
62851764MedicaidNM

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
I20170123001733 NM Practitioner - Nurse Practitioner 4082996228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newmexidoc PAGroup PAC ID 6204150659, 13 clinicians

Practice addresses (Care Compare)

831 S Saint Francis Dr
Santa Fe, NM 87505-3027

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03044NMMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newmexidoc, PA. CurrentSince Apr 1, 2025 Accepting new patients
Vuelta Health, LLC Current Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1919 5th St
Ste A
Santa Fe, NM 87505
Phone (505) 438-3101

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1942756630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 5TH ST STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056012",
            "telephone_number": "505-216-6387",
            "fax_number": "949-883-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 5TH ST STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056012",
            "telephone_number": "505-216-6387",
            "fax_number": "949-883-3768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 S Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875053027",
            "country_code": "US",
            "telephone_number": "505-501-7791",
            "fax_number": "505-501-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP-03044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62851764",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.