Mrs Carrie Nichole Blevins, FNP-C | |
805 W. Kansas, Jal, NM 88252 | |
(575) 395-3400 | |
(575) 395-2235 |
Full Name | Mrs Carrie Nichole Blevins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 805 W. Kansas, Jal, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801172150 | NPI | - | NPPES |
2022092898 | Other | NM | PMHNP BOARD CERTIFICATION |
10708081 | Medicaid | NM | |
F0911364 | Other | NM | NP BOARD CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP-01862 (New Mexico) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP-01862 (New Mexico) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Nor-lea Hospital District | Lovington, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jal Hospital District | 8729264478 | 4 |
Entity Name | Eunice Special Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689724627 PECOS PAC ID: 4082667654 Enrollment ID: O20050223000374 |
Entity Name | Jal Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558583005 PECOS PAC ID: 8729264478 Enrollment ID: O20110516000264 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carrie Nichole Blevins, FNP-C 831 Corto, Hobbs, NM 88240-1094 Ph: (575) 691-9573 | Mrs Carrie Nichole Blevins, FNP-C 805 W. Kansas, Jal, NM 88252 Ph: (575) 395-3400 |
Beatrice Hauer, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 W Kansas Ave, Jal, NM 88252 Phone: 575-395-3400 | |
James Gooss, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 West Kansas Avenue, Jal, NM 88252 Phone: 575-395-3400 Fax: 575-395-2781 | |
Mrs. Brandy Gooss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 West Kansas, Jal, NM 88252 Phone: 575-395-3400 Fax: 575-395-2781 |