| Andrea Diane Carrillo, NP | |
| 
					2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566  | |
| (575) 706-5887 | |
| Not Available | 
| Full Name | Andrea Diane Carrillo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2402 W Pierce St Ste 6a, Carlsbad, 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 | 
|---|---|---|---|
| 1306301551 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 54911 (New Mexico) | Primary | 
| Entity Name | American Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255441051 PECOS PAC ID: 2961453402 Enrollment ID: O20050202000504  | 
| Entity Name | Post Acute Rehabilitation Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023781028 PECOS PAC ID: 7214334614 Enrollment ID: O20210929000312  | 
| Entity Name | New Mexico Center For Pain And Wellness, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033803143 PECOS PAC ID: 7214391366 Enrollment ID: O20230908000248  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrea Diane Carrillo, NP 2410 N Fowler St, Hobbs, NM 88240-2312 Ph: (575) 392-2040  | Andrea Diane Carrillo, NP 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 Ph: (575) 706-5887  | 
Stephen Oravec, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 N Canal St, Carlsbad, NM 88220 Phone: 575-885-4836 Fax: 575-628-0676  | |
Ms. Elizabeth E Madison, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 W Pierce St, Ste 100, Carlsbad, NM 88220 Phone: 575-234-1855 Fax: 575-234-2854  | |
Rebecca Ann Jones, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Hagerman St, Carlsbad, NM 88220 Phone: 575-244-9284  | |
Yvette Pabustan Jurado, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 N Pate St Apt K190, Carlsbad, NM 88220 Phone: 412-230-6008  | |
Amy K Chavez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 E Wood Ave, Carlsbad, NM 88220 Phone: 575-941-2500 Fax: 575-941-2503  | |
Kristie Lynn Avon, DNP, AGACNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1619 Skyline Cir Ste A, Carlsbad, NM 88220 Phone: 575-941-4400  | |
Crystal Mullins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2402 W Pierce St, Suite 6a, Carlsbad, NM 88220 Phone: 575-689-8700 Fax: 575-446-4202  |