Individual provider Active NPI

Debra Renee Winkles, CNP

  • Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1952993677
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62752 Issued in NM
Practice address
814 Villa Verde Dr SE
Rio Rancho, NM 87124-1211
Phone
(505) 610-2583
NPI assigned
Feb 4, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 62752 NM Primary

Addresses

Primary practice location

814 Villa Verde Dr SE
Rio Rancho, NM 87124-1211

Mailing address

814 Villa Verde Dr SE
Rio Rancho, NM 87124-1211
Phone (505) 610-2583

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
I20210503000944 NM Practitioner - Nurse Practitioner 2365851417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interactionmatters, LLCGroup PAC ID 5193085421, 6 clinicians

Practice addresses (Care Compare)

102 Gold Ave SW
Suite 548
Albuquerque, NM 87102-3335
Phone (505) 660-8047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62752NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Recovery Toolbox LLC CurrentSince Mar 25, 2024 Accepting new patients
Interactionmatters, LLC CurrentSince Dec 1, 2024 Accepting new patients
Duke City Recovery Toolbox LLC Current Accepting new patients
Imatr-LLC PastSince Mar 11, 2025 Accepting new patients

Locations

102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047

912 1st St NW
Albuquerque, NM 87102
Phone (505) 224-9777

Interoperability endpoints

  • Direct secure messaging: debra.winkles.1@24259.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1952993677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 VILLA VERDE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241211",
            "telephone_number": "505-610-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 VILLA VERDE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241211",
            "telephone_number": "505-610-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLES",
        "first_name": "DEBRA",
        "middle_name": "RENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "62752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.