Dr Justin Richard White, DNP,CNP,PMHNP,LCSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Rio Rancho, New Mexico. He graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Alliance For Wellness Inc and his current practice location is
4300 Ridgecrest Dr Se, Ste L #910, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 288-3173.
Dr Justin Richard White is licensed to practice in New Mexico (license number CNP-01985) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538307897.
Healthcare Provider's Profile
| Full Name | Dr Justin Richard White |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 4300 Ridgecrest Dr Se, Rio Rancho, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Justin Richard White graduated from medical school in 2012
NPI Data:
- NPI Number: 1538307897
- Provider Enumeration Date: 01/25/2009
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456503218
- Enrollment ID: I20211214000542
Medical Identifiers
Medical identifiers for Dr Justin Richard White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538307897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | I-07579 (New Mexico) | Secondary |
| 163W00000X | Registered Nurse | RN-71946 (New Mexico) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95012483 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP4713 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP-01985 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Alliance For Wellness Inc | 9931355617 | 57 |
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 Justin Richard White allows following entities to bill medicare on his behalf.
| Entity Name | Senior Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629253505 PECOS PAC ID: 0446339469 Enrollment ID: O20080501000744 |
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| Entity Name | Alliance For Wellness Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124329131 PECOS PAC ID: 9931355617 Enrollment ID: O20120813000228 |
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| Entity Name | Forefront - Murdock Medical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720581473 PECOS PAC ID: 3971866401 Enrollment ID: O20180417000082 |
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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 Justin Richard White 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 Justin Richard White, DNP,CNP,PMHNP,LCSW 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Dr Justin Richard White, DNP,CNP,PMHNP,LCSW 4300 Ridgecrest Dr Se, Ste L #910, Rio Rancho, NM 87124-5912 Ph: (505) 288-3173 |
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