| 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 | 15 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jal Hospital District | 8729264478 | 7 |
| 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: Accepting Medicare Assignments 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 |