Active NPI
Michelle Dianne Dearmond, APRN-CNP
- Family Nurse Practitioner
- Gallup, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 64636
- Practice address
- 2111 College Dr
Gallup, NM 87301-5600 - Phone
- (505) 863-1820
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 64636 | NM | Primary |
Addresses
Primary practice location
2111 College Dr
Gallup, NM 87301-5600
Mailing address
2005 McDevitt PL
Gallup, NM 87301-4713
Phone (505) 979-2734
Other practice location 1
59 Bangor St
Houlton, ME 04730-1740
Phone (207) 538-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2111 College Dr
Gallup, NM 87301-5600
Phone (505) 397-5172
59 Bangor St
Houlton, ME 04730-1740
Phone (207) 528-2285
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64636 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Gallup Community Health | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients |
Locations
59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161
30 Houlton St
Patten, ME 04765
Phone (866) 366-5842
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
2022 E Aztec Ave
Gallup, NM 87301
Phone (505) 397-5172
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBBICD
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Gallup, NM
- NPI 1336807254
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
-
- Community/Retail Pharmacy
- Brownville, ME
- NPI 1699479311
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Hospital
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1952074742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 MCDEVITT PL",
"city": "GALLUP",
"state": "NM",
"postal_code": "873014713",
"telephone_number": "505-979-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 COLLEGE DR",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015600",
"telephone_number": "505-863-1820"
}
],
"practiceLocations": [
{
"address_1": "59 Bangor St",
"address_purpose": "LOCATION",
"city": "Houlton",
"state": "ME",
"postal_code": "047301740",
"country_code": "US",
"telephone_number": "207-538-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEARMOND",
"first_name": "MICHELLE",
"middle_name": "DIANNE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "64636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.