Ronald Edward Dancy Jr., MSN, CNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Crownpoint, NM
NPI 1992081608 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1992081608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 57859 (NM)
- Practice address
- 2004 King Street
Unit 2
Crownpoint, NM 87313 - Phone
- (505) 360-6625
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehoboth McKinley Christian Health Care Services, Inc.
Practice addresses (Care Compare)
1900 Red Rock Dr
Gallup, NM 87301-5682
Phone (505) 863-1820
1910 Red Rock Dr
Gallup, NM 87301-5682
Phone (505) 863-7136
Hospital & facility affiliations
- Rehoboth McKinley Christian Health Care Services
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 |
|---|---|---|---|---|
| I20230112000685 | NM | Practitioner - Nurse Practitioner | 6103296959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN124788 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN124788 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 57859 | NM | Yes |
Addresses
Primary practice location
2004 King Street
Unit 2
Crownpoint, NM 87313
Mailing address
PO Box 327
Crownpoint, NM 87313-0327
Phone (505) 360-6625
Other providers in Crownpoint, NM
- Emily Craine
- Crownpoint Health Care Facility
- Crownpoint Health Care Pharmacy
- Crownpoint Healthcare Facility
- Crownpoint Mobile Clinic
- Michael Davis
- DHHS PHS Naihs Crownpoint Hospital
- Eagle Air Med
- Darlington Friday Egbu
- Monica Eggleston
All providers in Crownpoint, 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 Jun 10, 2022. 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.