Gloria Garcia, CNP
Individual provider Active NPI Nurse Practitioner · Hatch, NM
NPI 1962575209 · NPPES record last updated Aug 1, 2011
Key facts
- NPI
- 1962575209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP00836 (NM)
- Practice address
- 255 Hwy 187
Hatch, NM 87937-0370 - Phone
- (575) 267-3088
- Fax
- (575) 267-1747
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ben Archer Health Center
Practice addresses (Care Compare)
1950 N Date St
Truth Or Consequences, NM 87901-3701
Phone (575) 894-8057
1960 N Date St
Truth Or Consequences, NM 87901-3701
Phone (575) 894-7662
255 Hwy 187
Hatch, NM 87937
Phone (575) 267-3280
PO Box
Suite 370
Hatch, NM 87937-0370
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 |
|---|---|---|---|---|
| I20070327000045 | NM | Practitioner - Nurse Practitioner | 6103920418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients | |
| Vaspro Inc | Nurse Practitioner | Past | Accepting new patients |
| Ben Archer Health Center | Past | Accepting new patients |
Locations
2150 Highway 54 S
Alamogordo, NM 88310
Phone (575) 443-8133
1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133
1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088
3331 Del Rey Blvd
Las Cruces, NM 88012
Phone (575) 267-3280
1998 N Motel Blvd
Las Cruces, NM 88007
Phone (575) 541-5941
1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662
1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-8057
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP00836 | NM | Yes |
Addresses
Primary practice location
255 Hwy 187
Hatch, NM 87937-0370
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R38331 | Other | NM | NURSING LICENSE |
Other providers in Hatch, NM
- Tony Lee Clark
- Cristina Davis
- Patrick B Doherty
- Julia Escarsega
- America Garcia Cervantes
- Hatch Area Medical Center Foundation
- Mary Ellen Hatcher
- Roberto Hernandez
- Anabel Knapp
- Trang T Le
All providers in Hatch, NM · 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 Aug 1, 2011. 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.