Individual provider Active NPI

Brandi Gorzeman, R.N.

  • Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1962823914
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
74019 Issued in NM
Practice address
530 N Telshor Blvd
Las Cruces, NM 88011-8243
Phone
(575) 303-2929
Fax
(752) 336-2605
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 74019 NM Primary
School Registered Nurse 163WS0200X R41405 NM

Addresses

Primary practice location

530 N Telshor Blvd
Las Cruces, NM 88011-8243

Mailing address

PO Box 2845
Las Cruces, NM 88004-2845
Phone (575) 303-2929

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
I20230815000059 NM Practitioner - Nurse Practitioner 5193194538 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R41405NMMDSchool Registered Nurse
74019NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Primary Care, LLC Current Accepting new patients
B-Well, LLC CurrentSince Feb 19, 2025 Accepting new patients

Locations

2930 Hillrise Dr
Ste 6
Las Cruces, NM 88011
Phone (575) 652-1540

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1962823914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-303-2929",
            "fax_number": "575-233-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118243",
            "telephone_number": "575-303-2929",
            "fax_number": "752-336-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZEMAN",
        "first_name": "BRANDI",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "74019",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R41405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.