Individual provider Active NPI

Carey Michael Reed, APN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Espanola, NM
National Provider Identifier
1962944926
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
60152 Issued in NM
Practice address
206 S Coronado Ave
Espanola, NM 87532-2792
Phone
(860) 788-6404
NPI assigned
Nov 8, 2016
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 21657 TN
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 60152 NM Primary

Addresses

Primary practice location

206 S Coronado Ave
Espanola, NM 87532-2792

Mailing address

PO Box 1595
Middletown, CT 06457-8095
Phone (860) 788-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200602001798 NM Practitioner - Nurse Practitioner 3678841202 Reassigns benefits to 1 organization
I20201103000692 CO Practitioner - Nurse Practitioner 3678841202 Reassigns benefits to 1 organization
I20210303000043 FL Practitioner - Nurse Practitioner 3678841202

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of New Mexico, LLCGroup PAC ID 1254668122, 7 clinicians

Practice addresses (Care Compare)

206 S Coronado Ave
Espanola, NM 87532-2792
Phone 8607886404152

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60152NMMDPsychiatric/Mental Health Clinical Nurse Specialist
21657TNMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Colorado LLC Multi-Specialty CurrentSince Oct 1, 2020 Accepting new patients
Meditelecare of New Mexico, LLC Multi-Specialty CurrentSince May 21, 2020 Accepting new patients
Ten Broeck Tennessee Physicians Group Inc PastSince Jan 31, 2021 Accepting new patients

Locations

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

206 S Coronado Ave
Espanola, NM 87532
Phone (616) 438-0737

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1962944926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "860-788-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S CORONADO AVE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322792",
            "telephone_number": "860-788-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CAREY",
        "middle_name": "MICHAEL",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TN",
            "license": "21657",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NM",
            "license": "60152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

Verify at the official NPI Registry.