Eun Bellisario, CNP
Individual provider Active NPI Family Nurse Practitioner · Cuba, NM
NPI 1962015958 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1962015958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 61906 (NM)
- Practice address
- 6349 US Highway 550
Cuba, NM 87013-6032 - Phone
- (575) 289-3291
- Fax
- (505) 443-8303
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Medical Services
Practice addresses (Care Compare)
1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210706000616 | NM | Practitioner - Nurse Practitioner | 3577965185 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008838 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Group LLC | Current |
Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Nextcare New Mexico LLC | Current |
Accepting new patients |
Locations
4201 Central Ave NW
Ste K3
Albuquerque, NM 87105
Phone (505) 369-1239
8201 Golf Course Rd NW
Albuquerque, NM 87120
Phone (505) 800-7070
1217 Bonita St
Grants, NM 87020
Phone (505) 287-2950
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- eun.bellisario.p1@direct.pmsnm.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11008838 | FL | |
| Family Nurse Practitioner | 363LF0000X | 61906 | NM | Yes |
Addresses
Primary practice location
6349 US Highway 550
Cuba, NM 87013-6032
Mailing address
6349 US Highway 550
Cuba, NM 87013-6032
Phone (575) 289-3291
Other providers in Cuba, NM
All providers in Cuba, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.