Crystal Chick, AGPC-NP-BC | |
4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | |
(505) 842-8171 | |
(505) 246-0684 |
Full Name | Crystal Chick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 4901 Lang Ave Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285285395 | NPI | - | NPPES |
9000178403 | Medicaid | CO | |
63789337 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0995019-NP (Colorado) | Secondary |
363L00000X | Nurse Practitioner | 63441 (New Mexico) | Primary |
Entity Name | St Lukes Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407953581 PECOS PAC ID: 5698773737 Enrollment ID: O20061128000029 |
Entity Name | Compass Medical Center, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184113003 PECOS PAC ID: 8224388871 Enrollment ID: O20180904000103 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190517001824 |
Mailing Address | Practice Location Address |
---|---|
Crystal Chick, AGPC-NP-BC 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 Ph: (505) 842-8171 | Crystal Chick, AGPC-NP-BC 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 Ph: (505) 842-8171 |
Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607 | |
Mr. Michael Alan Wallace, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113 Phone: 505-858-1222 Fax: 505-858-1224 | |
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574 | |
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269 | |
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409 | |
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000 | |
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220 |