Dr Diana Portillo, DNP, FNP-C, PMHNP-BC in Las Cruces, NM

Dr Diana Portillo, DNP, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Las Cruces, New Mexico. Her current practice location is 330 N Campo St, Las Cruces, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 288-1336.

Dr Diana Portillo is licensed to practice in New Mexico (license number CNP-01613) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194049841.

Contact Information

	Dr Diana Portillo, DNP, FNP-C, PMHNP-BC
	330 N Campo St, Las Cruces, NM 88001-3433
	(575) 288-1336
	(575) 222-4453

Map and Direction

Provider's Profile

Full Name	Dr Diana Portillo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	330 N Campo St, Las Cruces, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194049841
Provider Enumeration Date: 03/24/2010
Last Update Date: 10/02/2020

Medicare PECOS Information:

PECOS PAC ID: 3274666235
Enrollment ID: I20100728000854

Medical Identifiers

Medical identifiers for Dr Diana Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194049841	NPI	-	NPPES
20636865	Medicaid	NM
NMA100470	Other	NM	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	CNP-01613 (New Mexico)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP-01613 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Diana Portillo allows following entities to bill medicare on her behalf.

Entity Name	Bella Vida Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104442847 PECOS PAC ID: 2264852334 Enrollment ID: O20201013000188

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diana Portillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Diana Portillo, DNP, FNP-C, PMHNP-BC Po Box 1731, Las Cruces, NM 88004-1731 Ph: (575) 288-1336	Dr Diana Portillo, DNP, FNP-C, PMHNP-BC 330 N Campo St, Las Cruces, NM 88001-3433 Ph: (575) 288-1336

Reviews and Comments

Nurse Practitioner Nurses in Las Cruces, NM

Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482

Dr Diana Portillo, DNP, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Las Cruces, NM