| Terese Aileen O'neil Selvage, MN, CNP | |
|
1160 Camino De Cruz Blanca, Santa Fe, NM 87505-4584 | |
| (505) 984-6418 | |
| (505) 984-6918 |
| Full Name | Terese Aileen O'neil Selvage |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1160 Camino De Cruz Blanca, Santa Fe, 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 |
|---|---|---|---|
| 1205935004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP00790 (New Mexico) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | R36675 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Espanola Sports Medicine Pa | 2163691411 | 52 |
| Entity Name | Southwest Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871602698 PECOS PAC ID: 8921043035 Enrollment ID: O20050620000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Terese Aileen O'neil Selvage, MN, CNP Po Box 6880, Santa Fe, NM 87502-6880 Ph: (505) 216-0332 | Terese Aileen O'neil Selvage, MN, CNP 1160 Camino De Cruz Blanca, Santa Fe, NM 87505-4584 Ph: (505) 984-6418 |
Carolyn Sue Phillips, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 490a W Zia Rd, Santa Fe, NM 87505 Phone: 505-913-8900 Fax: 505-913-8923 | |
Deborah Hardin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4730 Beckner Road, Santa Fe, NM 87507 Phone: 505-989-4500 | |
Deirdre C Grimes, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1421 Luisa St Ste I, Santa Fe, NM 87505 Phone: 505-982-8338 Fax: 505-982-8393 | |
Adrienne Ann Martinez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2145 Caja Del Oro Grant Rd, Santa Fe, NM 87507 Phone: 505-438-3195 | |
Jacquelyn Belinsky, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Galisteo St, Santa Fe, NM 87505 Phone: 505-995-4901 | |
Kim Bear, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1160 Camino Cruz Blanca, Santa Fe, NM 87505 Phone: 505-984-6000 | |
Misper Etando, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-475-5006 |