Michael A Jaurequi, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Las Cruces, NM
NPI 1992217665 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1992217665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP-03438 (NM)
- Practice address
- 1998 N Motel Blvd
Las Cruces, NM 88007 - Phone
- (575) 541-5941
- Fax
- (575) 541-5048
- NPI assigned
- Nov 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- 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
Hospital & facility affiliations
- Memorial Medical Center
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 |
|---|---|---|---|---|
| I20180601000031 | NM | Practitioner - Nurse Practitioner | 9133484710 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03438 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Primary Care LLC | Family | Current |
Accepting new patients |
| Elite Primary Care, LLC | Current | Accepting new patients | |
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Current |
Accepting new patients | |
| Elite Primary Care LLC | Current |
Accepting new patients | |
| Ben Archer Health Center | Current | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients |
Locations
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
1401 S Don Roser Dr
Ste F1
Las Cruces, NM 88011
Phone (575) 303-2929
3825 Foothills Rd
Ste B
Las Cruces, NM 88011
Phone (575) 222-0815
530 N Telshor Blvd
Ste A
Las Cruces, NM 88011
Phone (575) 303-2929
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
411 E 3rd Ave
Ste 4
Truth Or Consequences, NM 87901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-03438 | NM | Yes |
Addresses
Primary practice location
1998 N Motel Blvd
Las Cruces, NM 88007
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other providers in Las Cruces, NM
- Trinidad Avalos Jasso Jr.
- Brandi Marie Jaure
- Violeta Blanca Jaure
- Francisco Jauregui
- Laura Ann Jaurequi
- Jenin Jawad
- Patrick Andrew Jefferson
- Jenifer Lichtenfels, MD, LLC
- Jade Nicole Jenkins
- Ryan K Jenkins
All providers in Las Cruces, 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 Jul 20, 2021. 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.