LISA CANDELARIA CNP
NPI 1649671918
Nurse Practitioner - Family in Rio Rancho, NM
NPI Status: Active since September 05, 2014
Contact Information
184 UNSER BLVD NE
RIO RANCHO, NM
ZIP 87124
Phone: (505) 896-0928
Fax: (505) 443-8314
- Individual
- Female
- Years of Experience 12
- Nurse Practitioner
- Family
- Accepts Medicare Approved Payment
About LISA CANDELARIA
This page provides the complete NPI Profile along with additional information for Lisa Candelaria, a provider established in Rio Rancho, New Mexico with a medical specialization in Nurse Practitioner, focusing in family and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1649671918 assigned on September 2014. The practitioner's primary taxonomy code is 363LF0000X with license number CNP-02501 (NM). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1649671918
- Provider Name
- LISA CANDELARIA CNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 184 UNSER BLVD NE RIO RANCHO, NM 87124
- Location Phone
- (505) 896-0928
- Location Fax
- (505) 443-8314
- Mailing Address
- 184 UNSER BLVD NE RIO RANCHO, NM 87124
- Mailing Phone
- (505) 896-0928
- Mailing Fax
- (505) 443-8314
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-05-2014
- Last Update Date
- 02-18-2025
- Code Navigator
A nurse practitioner (NP) like Lisa Candelaria is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- CNP-02501
- License State
- NM
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83671757 | MEDICAID (05) | NM |
Medicare Participation & PECOS Enrollment Status
Lisa Candelaria is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9537482872
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20141218000107
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for LISA CANDELARIA CNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 6 | 7 | 1 | 9 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 12 | 7 | 2 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 2 + 7 + 2 + 9 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1649671918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225218993 | MR. CHRISTOPHER A BURMEISTER MS Individual | Marriage & Family Therapist | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 506-0389 |
| 1023273091 | BRIAN DUANE BLOCKER LPCC Individual | Counselor | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1548490642 | PRESBYTERIAN MEDICAL SERVICES Organization | Community/Behavioral Health | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (877) 929-9797 |
| 1700106317 | MRS. CHRISTY F MACMURCHADHA Individual | Case Manager/Care Coordinator | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1568758662 | MS. MELISSA N. GREENE BSW Individual | Social Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1912275900 | ROBERT JOHN FUCILE Individual | Counselor (Mental Health) | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1255600623 | KURT LAURENZ JOHNSON LISW Individual | Social Worker (Clinical) | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1205105343 | PRESBYTERIAN MEDICAL SERVICES Organization | Case Management | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1952674624 | MARCELLA F BACA-DORY Individual | Counselor | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1750643391 | MR. WALTER ANTHONY BLEA CASE MANAAGER Individual | Case Manager/Care Coordinator | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 220-3754 |
| 1831452846 | ROBIN HOLLAND SANDLER Individual | Social Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0585 |
| 1144576844 | MS. LISA MARIA GALLES M.S., LMHC Individual | Counselor (Mental Health) | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1164779815 | MR. NATHAN FABIAN DELEON LMSW Individual | Social Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1013231877 | ELIZABETH B. SANCHEZ Individual | Community Health Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1366788556 | MR. DAVID PAUL MONTOYA Individual | Social Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1114263399 | JOSEPH MICHEAL DORN Individual | Social Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1871675140 | MS. TERESA J GRABER LCSW Individual | Social Worker (Clinical) | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1861506305 | GREGORY C BUSSEY LICSW Individual | Social Worker (Clinical) | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1023143021 | MR. KENNETH LEE DAVIS CPSW, CPSC, MSD, DD Individual | Case Manager/Care Coordinator | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
| 1982047502 | PATRICK MATURINO Individual | Community Health Worker | 184 UNSER BLVD NE RIO RANCHO, NM 87124 (505) 896-0928 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649671918, enumerated in the NPI registry as an "individual" on September 05, 2014
The provider is located at 184 Unser Blvd Ne Rio Rancho, Nm 87124 and the phone number is (505) 896-0928
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 12 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 05, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.