Individual provider Active NPI

Wendy Johnson, MD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1982648093
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-299 Issued in NM
Practice address
1035 Alto St
Santa Fe, NM 87501-2406
Phone
(505) 982-4599
Fax
(505) 982-8440
NPI assigned
Jun 16, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00047755 WA
Family Medicine Physician 207Q00000X 35074913 OH
Family Medicine Physician 207Q00000X 98-299 NM Primary

Addresses

Primary practice location

1035 Alto St
Santa Fe, NM 87501-2406

Mailing address

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4599

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140329000004 NM Practitioner - Family Practice 6204740004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Centro Family HealthGroup PAC ID 9830080688, 31 clinicians

Practice addresses (Care Compare)

538 N Paseo de Onate
Espanola, NM 87532-2618

PO Box
Espanola, NM 87532

PO Box
Espanola, NM 87532-0158

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-299NMMDFamily Medicine Physician
35074913OHMDFamily Medicine Physician
MD00047755WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince Nov 27, 2023 Accepting new patients
El Centro Family Health CurrentSince Nov 27, 2023 Accepting new patients
City of Cleveland Dept. of Public Health PastSince Dec 31, 2003 Accepting new patients
El Centro Family Health Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218

2010 Industrial Park Rd
Espanola, NM 87532
Phone (505) 753-3143

538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wendy.johnson@20337662754820.direct.elationemr.com

Organizations & group practices 5

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 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1982648093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4599",
            "fax_number": "505-982-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4599",
            "fax_number": "505-982-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047755",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35074913",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "98-299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.