Individual provider Active NPI

Marisela Casas

  • Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1992557987
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78570 Issued in NM
Practice address
3005 Hillrise Dr
Las Cruces, NM 88011-4703
Phone
(575) 525-3980
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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 Nurse Practitioner 363LP0808X 1156538 TX
Nurse Practitioner 363L00000X 78570 NM Primary

Addresses

Primary practice location

3005 Hillrise Dr
Las Cruces, NM 88011-4703

Mailing address

3005 Hillrise Dr
Las Cruces, NM 88011-4703

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
I20240521003411 NM Practitioner - Nurse Practitioner 6608218730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Pain Center LLCGroup PAC ID 0244487874, 7 clinicians

Practice addresses (Care Compare)

3005 Hillrise Dr
Las Cruces, NM 88011-4703
Phone (575) 525-3980

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1156538TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Pain Center, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

3005 Hillrise Dr
Las Cruces, NM 88011
Phone (575) 521-1122

Interoperability endpoints

  • Direct secure messaging: marisela.casas.1@20389.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1992557987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-525-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAS",
        "first_name": "MARISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1156538",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "78570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.