Individual provider Active NPI

Yourah Hwang, CNP

  • Family Nurse Practitioner
  • Edgewood, NM
National Provider Identifier
1992477756
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64328 Issued in NM
Practice address
1851 Old US 66
Edgewood, NM 87015-7200
Phone
(505) 286-2396
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 64328 NM Primary

Addresses

Primary practice location

1851 Old US 66
Edgewood, NM 87015-7200

Mailing address

1851 Old US 66
Edgewood, NM 87015-7200
Phone (505) 286-2396

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
I20211025000255 NM Practitioner - Nurse Practitioner 0840688818 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64328NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Centers of NM, Inc. CurrentSince Oct 5, 2021 Accepting new patients
McLeod Medical Centers of NM, Inc. CurrentSince Oct 18, 2021 Accepting new patients

Locations

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

12127 N State Highway 14
Ste 5B
Cedar Crest, NM 87008
Phone (505) 720-8167

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070

Interoperability endpoints

  • Direct secure messaging: yourah.hwang.1@27050.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM Inc 54 clinicians

Practice addresses (Care Compare)

1851 Old Hwy 66
Edgewood, NM 87015-6784
Phone (505) 281-5180

Hospital & facility affiliations

  • Harmony Home Health Services, LLC Home health agency, Albuquerque, NM, CCN 327187

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1992477756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 OLD US 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157200",
            "telephone_number": "505-286-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 OLD US 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157200",
            "telephone_number": "505-286-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "YOURAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, NM

Sources for this page

Verify at the official NPI Registry.